Individual
ELAINE MARGARITA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 W WOODLAND DR, ANAHEIM, CA 92801-2637
(714) 226-9888
(714) 226-9887
Mailing address
2531 W WOODLAND DR, ANAHEIM, CA 92801-2637
(714) 226-9888
(714) 226-9887
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT34486
CA
Other
Enumeration date
12/01/2010
Last updated
02/01/2021
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