Individual
JESSICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15099 MISSION HILLS RD, MISSION HILLS, CA 91345-1102
(818) 837-1800
Mailing address
13039 CRANSTON AVE, SYLMAR, CA 91342-3408
(818) 438-1483
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA10479
CA
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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