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NPI Code Detail

MEDICARE: JASMINE LOPEZ

MEDICARE: JASMINE LOPEZ
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 TechnicianCA

General Provider Information

NPI Number : 1487533766
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE LOPEZ
Provider Business Mailing Address
First Line : 119 W TORRANCE BLVD STE 100
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-3600
Country : US
Telephone Number : 310-374-3300
Fax Number : 310-374-3307
Provider Business Practice Location Address
First Line : 10900 LOS ALAMITOS BLVD STE 145
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-5610
Country : US
Telephone Number : 310-374-3300
Fax Number : 310-374-3307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2025
Last Update Date : 08/29/2025

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Directions to “ JASMINE LOPEZ ” Practice Location

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