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NPI Code Detail

MEDICARE: MISS JENNY LOPEZ LCSW

MEDICARE: MISS JENNY 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 WorkerLCSW95091CA

General Provider Information

NPI Number : 1063812279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JENNY LOPEZ LCSW
Provider Business Mailing Address
First Line : 3727 W 6TH ST STE 210
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-5108
Country : US
Telephone Number : 213-235-2500
Fax Number :
Provider Business Practice Location Address
First Line : 3255 WILSHIRE BLVD STE 120
Second Line :
City : LOS ANGELES
State : CA
Zip : 90010-1405
Country : US
Telephone Number : 213-235-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/22/2023

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Directions to “ MISS JENNY LOPEZ LCSW” Practice Location

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