Individual
ANNA GINNA LASALA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 S ANITA DR STE 201, ORANGE, CA 92868-3346
(714) 410-3505
(714) 410-3529
Mailing address
25402 PACIFICA AVE, MISSION VIEJO, CA 92691-3854
(949) 238-2400
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
27201
CA
Other
Enumeration date
06/29/2021
Last updated
03/13/2024
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