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NPI Code Detail

MEDICARE: ALONDRA LOPEZ

MEDICARE:   ALONDRA  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 Technician

General Provider Information

NPI Number : 1558015339
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALONDRA LOPEZ
Provider Business Mailing Address
First Line : 3673 GEORGETOWN CT
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5222
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3876 CAMINITO DE TATAN
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-3527
Country : US
Telephone Number : 415-794-0021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 02/09/2022

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Directions to “ ALONDRA LOPEZ ” Practice Location

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