Individual
JESSICA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(323) 463-2119
Mailing address
300 N MARGUERITA AVE APT D, ALHAMBRA, CA 91801-2159
(626) 394-6657
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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