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NPI Code Detail

MEDICARE: ROMEN ROMEL LOPEZ LCSW

MEDICARE: ROMEN ROMEL LOPEZ LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker97746CA
21041C0700XClinical Social Worker138886CA
3101YM0800XMental Health Counselor
4101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1114576188
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROMEN ROMEL LOPEZ LCSW
Provider Business Mailing Address
First Line : 711 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-6105
Country : US
Telephone Number : 323-789-5610
Fax Number :
Provider Business Practice Location Address
First Line : 711 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90044-6105
Country : US
Telephone Number : 323-789-5610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2019
Last Update Date : 06/01/2026

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Directions to “ ROMEN ROMEL LOPEZ LCSW” Practice Location

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