Individual
ERIC LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2535 KETTNER BLVD, SAN DIEGO, CA 92101-1250
(619) 615-0701
Mailing address
1126 CAMINO DONAIRE, SAN DIEGO, CA 92154-4638
(619) 651-6717
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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