Most Relevant Information
Provider Data
| NPI Number: | 1003690827 |
| Provider Name: | ALEXIS LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/22/2023 |
| Last Updated: | 08/05/2024 |
Provider Practice Location
6160 MISSION GORGE RD STE 108
SAN DIEGO
CA
921203425
Practice Location Phone/Fax
| Phone: | 6194815200 |
| Fax: |
Provider Mailing Location
2401 PASO ROBLES CT
CHULA VISTA
CA
919143528
Provider Mailing Phone/Fax
| Phone: | 6192134694 |
| Fax: |