Provider Demographics
NPI:1457557050
Name:LOPEZ-FIGUEROA, IXTLANA II (CASE MANAGER)
Entity Type:Individual
Prefix:MRS
First Name:IXTLANA
Middle Name:
Last Name:LOPEZ-FIGUEROA
Suffix:II
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14727 ALLINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-5606
Mailing Address - Country:US
Mailing Address - Phone:213-923-0381
Mailing Address - Fax:213-241-0925
Practice Address - Street 1:1135 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1828
Practice Address - Country:US
Practice Address - Phone:213-923-0381
Practice Address - Fax:213-241-0925
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor