Individual provider · Type 1 NPI

Jacqueline Edith Lopez

Rehabilitation Practitioner · Altadena, CA

NPI number 1083164420 Active

Practice location

760 Mountain View St
Altadena, CA 91001-4925

Call (626) 798-6793 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1083164420

Jacqueline Edith Lopez's National Provider Identifier is 1083164420, issued on Oct 10, 2016. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Altadena, CA. The record was last updated on Sep 2, 2025.