Provider Demographics
NPI:1366674558
Name:LOPEZ, RACHEL CHRISTINE
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RACHEL
Other - Middle Name:CHRISTINE
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1125 WEST 6TH STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017
Mailing Address - Country:US
Mailing Address - Phone:213-241-0979
Mailing Address - Fax:213-241-0925
Practice Address - Street 1:1125 WEST 6TH STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:213-241-0979
Practice Address - Fax:213-241-0925
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker