Individual
JOSIAS M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
580 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4621
(323) 782-1513
Mailing address
5701 ELMER AVE APT 3, NORTH HOLLYWOOD, CA 91601-1883
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4715
CA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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