Healthcare Provider Details

I. General information

NPI: 1790618411
Provider Name (Legal Business Name): YESENIA LOPEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 N BLACKSTONE ST
TULARE CA
93274-4449
US

IV. Provider business mailing address

858 N OCEAN ST
TULARE CA
93274-3090
US

V. Phone/Fax

Practice location:
  • Phone: 559-688-2021
  • Fax:
Mailing address:
  • Phone: 559-308-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: