Search › California › 1041C0700X
Mayra Lopez
NPI 1386180628 · on the registry since 2017
Practice
- Address
- 1989 Vicente Dr
San Luis Obispo, CA 93405 - Phone
- (805) 781-1354
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-02
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