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Jose Lopez I
Student in an Organized Health Care Education/Training Program in El Centro, California
NPI 1639575566

Jose Lopez I is a Student in an Organized Health Care Education/Training Program based in El Centro, CA. Jose Lopez I practices in El Centro, CA. The NPI Number for Jose Lopez I is 1639575566 and holds a License No. (California).

The current practice location address for Jose Lopez I is 1415 Ross Ave, El Centro, CA and can be reached out via phone at 769-339-7100.

Location: 1415 Ross Ave, El Centro, CA, 92243-6115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639575566
Provider Name
Jose Lopez I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1415 Ross Ave, El Centro, CA, 92243-6115
Phone Number
769-339-7100
Fax Number
Provider Enumeration Date
11/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1415 Ross Ave
City
El Centro
State
California
Zip
92243-4306
Phone Number
769-339-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1415 Ross Ave
City
El Centro
State
California
Zip
92243-4306
Phone Number
769-339-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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