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NPI Code Detail

MEDICARE: MS. MONICA DE LA CRUZ LOPEZ LEAL

MEDICARE: MS. MONICA DE LA CRUZ LOPEZ LEAL
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
1106H00000XMarriage & Family TherapistLMFT124970CA

General Provider Information

NPI Number : 1619002367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONICA DE LA CRUZ LOPEZ LEAL
Provider Business Mailing Address
First Line : 320 PINE AVE STE 514
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-2309
Country : US
Telephone Number : 562-208-7293
Fax Number :
Provider Business Practice Location Address
First Line : 320 PINE AVE STE 514
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-2309
Country : US
Telephone Number : 562-208-7293
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 02/20/2026

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Directions to “ MS. MONICA DE LA CRUZ LOPEZ LEAL ” Practice Location

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