Healthcare Provider Details

I. General information

NPI: 1801068416
Provider Name (Legal Business Name): ANGELA M LOPEZ-MORALES MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA M. LOPEZ MFT-I

II. Dates (important events)

Enumeration Date: 03/24/2008
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 W METROPOLITAN DR STE 130
ORANGE CA
92868-3504
US

IV. Provider business mailing address

4000 W METROPOLITAN DR STE 130
ORANGE CA
92868-3504
US

V. Phone/Fax

Practice location:
  • Phone: 714-480-4691
  • Fax: 714-480-6613
Mailing address:
  • Phone: 714-371-5132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT109796
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: