Search › California › 101YA0400X
Kaelan Lopez, SUDRC
NPI 1811571680 · on the registry since 2021
Practice
- Address
- 2844 Coloma St
Placerville, CA 95667 - Phone
- (530) 642-1715
- Organisation at this address
- Progress House, Inc.
Progress House, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-07
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