Individual
BRIAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 802-0386
(323) 233-5015
Mailing address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
08/21/2023
Last updated
05/13/2025
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