Irma Lucia Lopez Jimenez M.S.

NPI # 

Practice Address:

14112 S Kingsley Dr

Gardena, CA, 90249-3018

Practice Phone:

323-637-0464

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Technician

Taxonomy Code:

106S00000X

Deactivation Date:

2022-09-23T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2022-10-04T00:00:00.000Z