Healthcare Provider Details

I. General information

NPI: 1689478331
Provider Name (Legal Business Name): JOSHUA LOPEZ-PEREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 BLANCO CIR STE B
SALINAS CA
93901-4451
US

IV. Provider business mailing address

326 ADDINGTON LN UNIT C
SALINAS CA
93907-1802
US

V. Phone/Fax

Practice location:
  • Phone: 831-422-5555
  • Fax:
Mailing address:
  • Phone: 831-737-7107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number52772
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: