Individual provider · Type 1 NPI

Juan Carlos Lopez, PSYD STUDENT

Student in an Organized Health Care Education/Training Program · Concord, CA

NPI number 1013704329 Active

Practice location

1070 Concord Ave
Concord, CA 94520-5699

Call (925) 849-4695 Map

Mailing address

2363 Craig Ct
Mountain View, CA 94043-2725

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013704329

Juan Carlos Lopez, PSYD STUDENT's National Provider Identifier is 1013704329, issued on Apr 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Concord, CA. The record was last updated on Apr 21, 2025.