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NPI Code Detail

MEDICARE: LETICIA LOPEZ

MEDICARE: LETICIA 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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1811851249
Entity Type Code : Individual
Provider Name (Legal Business Name) : LETICIA LOPEZ
Provider Business Mailing Address
First Line : 2026 W BEACON AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4406
Country : US
Telephone Number : 657-276-7030
Fax Number : 714-426-8160
Provider Business Practice Location Address
First Line : 2026 W BEACON AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92804-4406
Country : US
Telephone Number : 657-276-7030
Fax Number : 714-426-8160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ LETICIA LOPEZ ” Practice Location

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