Most Relevant Information
Provider Data
| NPI Number: | 1003521766 |
| Provider Name: | JAZMIN LOPEZ CMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 91958 |
Most Important Dates
| Enumeration Date: | 01/17/2023 |
| Last Updated: | 01/17/2023 |
Provider Practice Location
23101 SHERMAN PL STE 150
WEST HILLS
CA
913072005
Practice Location Phone/Fax
| Phone: | 8188877667 |
| Fax: | 8188877677 |
Provider Mailing Location
23101 SHERMAN PL STE 150
WEST HILLS
CA
913072005
Provider Mailing Phone/Fax
| Phone: | 8188877667 |
| Fax: | 8188877677 |