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Carly Booth Lopez
NPI 1255206488 · on the registry since 2025 · sole proprietor
Practice
- Address
- 310 S Jefferson St Apt 45c
45c
Placentia, CA 92870 - Phone
- (562) 652-6886
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California