Individual
ITZAYANA NAGELY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7755 REED STREET, DOWNEY, CA 90242
(310) 221-6336
Mailing address
7755 REED STREET, DOWNEY, CA 90242
(310) 221-6336
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
11/02/2022
Last updated
06/28/2025
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