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NPI Code Detail

MEDICARE: CHARLENE LOPEZ CELESTINO

MEDICARE:   CHARLENE LOPEZ CELESTINO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician
2225X00000XOccupational Therapist23610CA

General Provider Information

NPI Number : 1437610029
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLENE LOPEZ CELESTINO
Provider Business Mailing Address
First Line : 402 S PROSPECTORS RD STE I
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1618
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 402 S PROSPECTORS RD STE I
Second Line :
City : DIAMOND BAR
State : CA
Zip : 91765-1618
Country : US
Telephone Number : 909-922-2497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 07/10/2025

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Directions to “ CHARLENE LOPEZ CELESTINO ” Practice Location

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