| Gonzalo Chacon Lopez, | |
|
9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | |
| (310) 945-3350 | |
| Not Available |
| Full Name | Gonzalo Chacon Lopez |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 9808 Venice Blvd Ste 505, Culver City, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932889953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 95233009 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gonzalo Chacon Lopez, 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 Ph: (310) 945-3350 | Gonzalo Chacon Lopez, 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 Ph: (310) 945-3350 |
Joseph A Derije, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 9808 Venice Blvd, Suite 700, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-840-7023 | |
Cherryl Diom, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Ste. 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Chinyere Ochulor-duru, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Paul Monju, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Victor Ogbeide, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd, Ste. 505, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-945-3356 | |
Joel Kofi Ampofo, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 505, Culver City, CA 90232 Phone: 310-945-3350 | |
Rosalyn Lorraine Slack, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9808 Venice Blvd Ste 702, Culver City, CA 90232 Phone: 310-945-3350 Fax: 310-840-7023 |