Lopez, Connie

Lopez, Connie is an sole proprietor health care provider with primary practice located at 625 Fair Oaks Ave Fl 1 , South Pasadena CA 91030-2630. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Lopez, Connie can be contacted via phone (626) 861-4475.

Contact Information

Primary practice address
625 Fair Oaks Ave Fl 1 South Pasadena CA 91030-2630
Phone: (626) 861-4475
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-AJPVHI California

Profile Details

NPI number 1750650206
LBN Legal business name Lopez, Connie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2011
Last updated May 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750650206 NPPES
California Other 171M00000X CASE MANAGER

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