Individual
EDUARDO JESUS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, AA-T, CPSS
Contact information
Practice address
801 PARKCENTER DR STE 235, SANTA ANA, CA 92705-3588
(714) 948-7980
(657) 208-1374
Mailing address
801 PARKCENTER DR STE 235, SANTA ANA, CA 92705-3588
(714) 948-7980
(657) 208-1374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-GCNVWT
CA
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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