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Jesus M Lopez-Gonzalez

Rehabilitation Practitioner in Merced, CA. Individual provider (NPI-1).

NPI number1164063350
StatusActive
Last updated in NPPESAug 18, 2026

Details

NPI
1164063350
Entity type
Individual (NPI-1)
Name
Jesus M Lopez-Gonzalez
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 30, 2019
Certification date
Aug 18, 2026
Last updated
Aug 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–CAYes

Practice location

301 E 13th St
Merced, CA 95341-6211

Phone 209-421-9098

Mailing address

301 E 13th St
Merced, CA 95341-6211

Phone 209-421-9098

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