Healthcare Provider Details

I. General information

NPI: 1326801853
Provider Name (Legal Business Name): FLOR LOPEZ MARTINEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 BANCROFT AVE STE 125C
OAKLAND CA
94605-2454
US

IV. Provider business mailing address

300 EAST LELAND ROAD SUIT 100
PITTSBURG CA
94565
US

V. Phone/Fax

Practice location:
  • Phone: 510-701-9859
  • Fax:
Mailing address:
  • Phone: 925-439-9628
  • Fax: 925-439-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-QYFOCZ
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: