MEDICARE: DONALD E LOPEZ CAMTC

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
1	225700000X	Massage Therapist	99357	CA

General Provider Information

NPI Number	:	1538015045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD E LOPEZ CAMTC

Provider Business Mailing Address
First Line	:	5835 COLFAX AVE APT 2
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-1039
Country	:	US
Telephone Number	:	818-699-8998
Fax Number	:

Provider Business Practice Location Address
First Line	:	5835 COLFAX AVE APT 2
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-1039
Country	:	US
Telephone Number	:	818-726-6023
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ DONALD E LOPEZ CAMTC” Practice Location

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