Lopez, Jessica

Lopez, Jessica is an individual health care provider with primary practice located at 3316 W Beverly Blvd , Montebello CA 90640-1537. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Lopez, Jessica can be contacted via phone (323) 722-4529.

Contact Information

Primary practice address
3316 W Beverly Blvd Montebello CA 90640-1537
Phone: (323) 722-4529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1841660909
LBN Legal business name Lopez, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Oct 1st, 2015 - about 9 years ago

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 1841660909 NPPES
California Other 02768010 DRUG MEDI-CAL

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