Individual
BRIAN EDUARDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
957 S VILLAGE OAKS DR, COVINA, CA 91724-3696
(909) 599-8222
(626) 498-0078
Mailing address
1308 W MARIANA ST, WEST COVINA, CA 91790-3542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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