Provider Demographics
NPI:1124862560
Name:LOPEZ FIGUEROA, JOSE ROBERTO
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:ROBERTO
Last Name:LOPEZ FIGUEROA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 S B ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-5916
Mailing Address - Country:US
Mailing Address - Phone:805-486-9405
Mailing Address - Fax:
Practice Address - Street 1:400 S B ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5916
Practice Address - Country:US
Practice Address - Phone:805-486-9405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner