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NPI Code Detail

MEDICARE: MARTHA ROSE LOPEZ DE ARMAS LCSW

MEDICARE: MARTHA ROSE LOPEZ DE ARMAS 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 WorkerLCSW98931CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195-2633765OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1578815072
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA ROSE LOPEZ DE ARMAS LCSW
Provider Business Mailing Address
First Line : PO BOX 2027
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91778-2027
Country : US
Telephone Number : 323-317-4642
Fax Number :
Provider Business Practice Location Address
First Line : 153 JUNIPERO SERRA DR UNIT F
Second Line :
City : SAN GABRIEL
State : CA
Zip : 91776-1255
Country : US
Telephone Number : 323-317-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2012
Last Update Date : 02/21/2023

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