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

Kimberly Belen Lopez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700553302

Kimberly Belen Lopez is a Student in an Organized Health Care Education/Training Program in Mammoth Lakes, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1290 Tavern Rd
Mammoth Lakes, CA 93546-6601
Phone: (760) 924-1740
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ASW112171 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1700553302
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2021
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

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