Samuel Lopez, is a
Case Manager/care Coordinator based in Pasadena, California. Samuel Lopez is licensed to practice in * (Not Available) (license number ) and his current practice location is
691 E Washington Blvd, Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(626) 842-7560.
NPI number for Samuel Lopez is 1154675130 and his current mailing address is 4856 Lante St, Baldwin Park, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154675130.
Healthcare Provider's Profile
| Full Name | Samuel Lopez |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 691 E Washington Blvd, Pasadena, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1154675130
- Provider Enumeration Date: 10/30/2012
- Last Update Date: 01/06/2023
Medical Identifiers
Medical identifiers for Samuel Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154675130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Samuel 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 |
|---|
Samuel Lopez,
4856 Lante St,
Baldwin Park, CA 91706-1946
Ph: (626) 506-5825 | Samuel Lopez,
691 E Washington Blvd,
Pasadena, CA 91104-5003
Ph: (626) 842-7560 |
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