Individual
CARLOS ABRAHAM JUAREZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 SUNSET BLVD., SUITE 600, LOS ANGELES, CA 90027
(323) 274-5315
Mailing address
9820 SAN ANTONIO AVE, SOUTH GATE, CA 90280-4622
(323) 274-5315
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
R1529731023
CA
Other
Enumeration date
11/22/2022
Last updated
06/03/2025
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