Individual
ANTHONY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 863-5740
Mailing address
4309 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 876-4502
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/10/2025
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