| Lopez Psychiatric Services Llc | |
|
50 W Lemon Ave Ste 31 Monrovia CA 91016-6152 | |
| (323) 410-0021 | |
| (323) 410-2001 |
| Full Name | Lopez Psychiatric Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 50 W Lemon Ave Ste 31, Monrovia, California |
| Authorized Official Name and Position | Diana Helen Lopez (OWNER) |
| Authorized Official Contact | 3234100021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Psychiatric Services Llc 50 W Lemon Ave Ste 31 Monrovia CA 91016-6152 Ph: (323) 410-0021 | Lopez Psychiatric Services Llc 50 W Lemon Ave Ste 31 Monrovia CA 91016-6152 Ph: (323) 410-0021 |
| NPI Number | 1689452591 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 6608225750 |
|---|---|
| Medicare Enrollment ID | O20231214000855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689452591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Diana H Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528648284 PECOS PAC ID: 9537536362 Enrollment ID: I20221107002756 |
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