Individual
WENDY MICHELLE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 N. AVENUE 66, LOS ANGELES, CA 90042-0001
(626) 395-7100
Mailing address
840 N. AVENUE 66, LOS ANGELES, CA 90042-0001
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-HFXWIG
CA
175T00000X
Peer Specialist
—
—
373H00000X
Day Training/Habilitation Specialist
—
CA
Other
Enumeration date
10/29/2019
Last updated
05/13/2026
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