Provider Demographics
NPI:1770621005
Name:LOPEZ, CINDY V
Entity type:Individual
Prefix:MR
First Name:CINDY
Middle Name:V
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:CINDY
Other - Middle Name:V
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:319 GILEA CT
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93455-1382
Mailing Address - Country:US
Mailing Address - Phone:805-934-6572
Mailing Address - Fax:
Practice Address - Street 1:319 GILEA CT
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93455-1382
Practice Address - Country:US
Practice Address - Phone:805-922-5921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator