Cecilia Celena Lopez, is a
Student In An Organized Health Care Education/training Program based in San Jose, California. Cecilia Celena Lopez is licensed to practice in California (license number ) and her current practice location is
1340 Tully Rd Ste 301, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 271-3900.
NPI number for Cecilia Celena Lopez is 1912614777 and her current mailing address is 1340 Tully Rd Ste 301, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912614777.
Healthcare Provider's Profile
| Full Name | Cecilia Celena Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1340 Tully Rd Ste 301, San Jose, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912614777
- Provider Enumeration Date: 11/01/2022
- Last Update Date: 08/27/2026
Medical Identifiers
Medical identifiers for Cecilia Celena Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912614777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cecilia Celena Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Cecilia Celena Lopez, 1340 Tully Rd Ste 301, San Jose, CA 95122-3055 Ph: (408) 271-3900 | Cecilia Celena Lopez, 1340 Tully Rd Ste 301, San Jose, CA 95122-3055 Ph: (408) 271-3900 |
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