Individual provider · Type 1 NPI

Crystal Samantha Lopez-Maldonado

Rehabilitation Practitioner · Azusa, CA

NPI number 1902525777 Active

Practice location

23701 E East Fork Rd
Azusa, CA 91702-1477

Call (626) 250-3300 Map

Fax (626) 910-1380

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1902525777

Crystal Samantha Lopez-Maldonado's National Provider Identifier is 1902525777, issued on Aug 25, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Azusa, CA. The record was last updated on Apr 19, 2025.