Healthcare Provider Details

I. General information

NPI: 1821908484
Provider Name (Legal Business Name): MS. BRIGITTE MONTSERRAT AYALA LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S FREMONT AVE BLDG A-10
ALHAMBRA CA
91803-8800
US

IV. Provider business mailing address

4217 MAXSON RD APT 2
EL MONTE CA
91732-2000
US

V. Phone/Fax

Practice location:
  • Phone: 626-465-9305
  • Fax:
Mailing address:
  • Phone: 626-465-9305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: