Search › California › 167G00000X
Tracy Lopez
NPI 1699901751 · on the registry since 2009
Practice
- Address
- 23701 E East Fork Rd
Azusa, CA 91702 - Phone
- (626) 910-1202
- Organisation at this address
- Social Model Recovery Systems, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 128
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-06-03
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