Provider Demographics
NPI:1467741389
Name:LOPEZ, ARNOLD FLORES (SUBSTANCE ABUSE)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:FLORES
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:SUBSTANCE ABUSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84844 HOPI AVENUE
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92203
Mailing Address - Country:US
Mailing Address - Phone:760-347-9442
Mailing Address - Fax:760-342-8022
Practice Address - Street 1:83844 HOPI AVE
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92203-2638
Practice Address - Country:US
Practice Address - Phone:760-347-9442
Practice Address - Fax:760-342-8022
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10121101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)