DR. ENRIQUE LOPEZ (NPI# 1497737738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497737738 |
| Entity Type | Individual |
| Full Name | DR. ENRIQUE LOPEZ |
| Credential | PSY.D. |
| Practice Address |
4572 Alla Rd Los Angeles CA 90066-6490 |
| Practice Telephone | 3108923351 |
| Practice Fax Number | 3109431652 |
| Mailing Telephone | 3108923351 |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PSY 17035 | CA | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | PSY 17035 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992846935 | Enrique Lopez | Technician/Technologist | 1740 Palm Ave Ste 4, Hialeah, FL 33010-2673 | 2007-02-11 |
| 1578572087 | Enrique Sion Lopez | Pediatrics | 5002 W Glendale Ave Ste 104, Glendale, AZ 85301 | 2006-08-05 |
| 1982171815 | Enrique Lopez | Case Manager/Care Coordinator | 3843 W 63rd St, Chicago, IL 60629-4623 | 2018-10-29 |
| 1023519873 | Enrique R Lopez | Behavioral Analyst | 102 Westlake Dr, West Lake Hills, TX 78746-5394 | 2018-02-27 |
| 1205267739 | Enrique J Lopez | Physical Therapist | 6850 Brockton Ave, Suite 212, Riverside, CA 92506-3808 | 2013-12-10 |
| 1003046525 | Enrique Patrick Lopez | Surgery | 417 W 3rd Ave, Albany, GA 31701-1943 | 2009-07-17 |
| 1891768941 | Enrique C. Lopez IIi | Family Medicine | 3960 Patient Care Way, Suite 108, Lansing, MI 48911-4275 | 2006-02-09 |
| Street Address |
4572 ALLA RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90066-6490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1073167458 | Rosario Tabares | Marriage & Family Therapist | 4173 Inglewood Blvd., Los Angeles, CA 90066 | 2019-07-24 |
| 1396200739 | Ruzziel Pio | Licensed Vocational Nurse | 4344 Harding Avenue, Los Angeles, CA 90066 | 2019-02-08 |
| 1164992731 | Erfan Nazeri | Student in an Organized Health Care Education/Training Program | 3101 Sawtelle Blvd, Apt 128, Los Angeles, CA 90066 | 2018-11-27 |
| 1972096600 | Tricia Kim Ann Walters | Licensed Vocational Nurse | 1233 S. La Cienega Blvd, Los Angeles, CA 90066 | 2018-06-07 |
| 1174015622 | Nicole Hiorns | Occupational Therapist | 11605 Washington Place, Los Angeles, CA 90066 | 2018-05-31 |
| 1225549934 | Gary Sattler | Psychoanalyst | 3133 Federal Ave., Los Angeles, CA 90066 | 2017-10-20 |
| 1669991568 | Nexus Recovery Services, LLC | Clinic/Center | 11515 Washington Blvd, Culver City, CA 90066 | 2017-09-12 |
| 1336669381 | Andrea Michelle Bakke | Dentist | 3636 Rosewood Ave, Los Angeles, CA 90066 | 2017-06-21 |
| 1659820686 | Pegah Ghassemi Bakhtiari Dds Inc | Dentist | 12756 West Washington Blvd, Los Angeles, CA 90066 | 2016-10-03 |
| Find all providers in zip 90066 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1528541554 | Marlene Garza | Clinical Neuropsychologist | 7381 La Tijera Blvd Unit 45312, Los Angeles, CA 90045-7017 | 2018-09-14 |
| 1922503739 | Douglas Polster | Clinical Neuropsychologist | 300 Stein Plaza Driveway, Los Angeles, CA 90095-0001 | 2018-03-26 |
| 1356875496 | Vindia G Fernandez | Clinical Neuropsychologist | 760 Westwood Plz # 47-429a, Los Angeles, CA 90095-8353 | 2017-04-15 |
| 1528500428 | Shou-chin Christine You | Clinical Neuropsychologist | Mpac Ucla Semel Institute, 760 Westwood Plaza, C8-852, Los Angeles, CA 90095-1759 | 2016-11-08 |
| 1053766139 | Larry C Bernard | Clinical Neuropsychologist | 8560 W Sunset Blvd, Suite 500, Los Angeles, CA 90069-2311 | 2016-04-26 |
| 1164807954 | Stacey M. Bayan | Clinical Neuropsychologist | 11835 W Olympic Blvd., Ste 1265e, Los Angeles, CA 90064-5814 | 2015-07-22 |
| 1346630944 | Sloane Miller | Clinical Neuropsychologist | 1033 Gayley Ave Ste 208, Los Angeles, CA 90024-3426 | 2015-02-03 |
| 1932458155 | Nora Goudsmit | Clinical Neuropsychologist | 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661 | 2012-09-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90066 |
Please comment or provide details below to improve the information on DR. ENRIQUE LOPEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.