Healthcare Provider Details

I. General information

NPI: 1588519045
Provider Name (Legal Business Name): CESAR LOPEZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4390
US

IV. Provider business mailing address

180 HOLLY AVE APT 10
CARPINTERIA CA
93013-2227
US

V. Phone/Fax

Practice location:
  • Phone: 805-682-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number88831
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: