Individual
CARLOS ALFREDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3490 THE ALAMEDA, SANTA CLARA, CA 95050-4333
(626) 524-4383
Mailing address
3490 THE ALAMEDA, SANTA CLARA, CA 95050-4333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/02/2020
Last updated
03/30/2022
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