Individual
GRICELDA PIMENTEL-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 366-4040
Mailing address
2605 S MILLER ST STE 101, SANTA MARIA, CA 93455-1774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
05/30/2025
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