Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Community Evolution Acquisition

Organization Mental Health Counselor · NPI 1710849468

Community Evolution Acquisition is a Mental Health Counselor in San Pedro, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4

Practice location Address checks out

1767 Vallecito Dr
San Pedro, CA 90732-4245
Phone: (424) 503-3336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Case Management Agency Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1710849468
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tia Lopez — Ceo · (424) 503-3336
NPI enumeratedDecember 2, 2025
Last updated in NPPESDecember 2, 2025
Certification dateDecember 1, 2025
Mailing address1767 Vallecito Dr, San Pedro, CA 90732-4245

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