Most Relevant Information
Provider Data
| NPI Number: | 1003291790 |
| Provider Name: | ENRIQUE LOPEZ-CASTRO |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2015 |
| Last Updated: | 07/23/2015 |
Provider Practice Location
1501 FRUITVALE AVE
OAKLAND
CA
946012322
Practice Location Phone/Fax
| Phone: | 5105356200 |
| Fax: | 5105354167 |
Provider Mailing Location
1501 FRUITVALE AVE
OAKLAND
CA
946012322
Provider Mailing Phone/Fax
| Phone: | 5105356200 |
| Fax: | 5105354167 |