ANIBAL LOPEZ
NPI 1730967639
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since September 20, 2023
416 CORSON AVE, MODESTO, CA 95350(209) 521-1805 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anibal Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANIBAL LOPEZ (NPI 1730967639) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1730967639
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANIBAL LOPEZ
Location Address416 CORSON AVEModesto, CA 95350-5408
Mailing Address307 E Minnesota AveTurlock, CA 95382-1409 · (209) 535-0725
Sole ProprietorNo
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
NPI 1730967639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

416 CORSON AVE, Modesto, CA 95350

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
416 CORSON AVE
MODESTO, CA 95350
Marriage & Family Therapist
416 CORSON AVE
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
416 CORSON AVE
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
416 CORSON AVE
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
416 CORSON AVE
MODESTO, CA 95350
Counselor (Addiction (Substance Use Disorder))
416 CORSON AVE
MODESTO, CA 95350
Counselor (Mental Health)
416 CORSON AVE
MODESTO, CA 95350
Social Worker
416 CORSON AVE
MODESTO, CA 95350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730967639, enumerated as an "individual" on September 20, 2023.

The provider is located at 416 CORSON AVE MODESTO, CA 95350 and the phone number is (209) 521-1805.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.