Individual
DR. ENRIQUE LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4572 ALLA RD, LOS ANGELES, CA 90066-6490
(310) 892-3351
(310) 943-1652
Mailing address
4572 ALLA RD, LOS ANGELES, CA 90066-6490
(310) 892-3351
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY 17035
CA
103T00000X
Psychologist
Primary
PSY 17035
CA
Other
Enumeration date
11/14/2005
Last updated
09/11/2025
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