Provider Demographics
NPI:1477940179
Name:LOPEZ-CEPERO, MEG A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MEG
Middle Name:A
Last Name:LOPEZ-CEPERO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8023 BEVERLY BLVD STE 1
Mailing Address - Street 2:#1527
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4523
Mailing Address - Country:US
Mailing Address - Phone:323-325-5010
Mailing Address - Fax:
Practice Address - Street 1:8023 BEVERLY BLVD STE 1
Practice Address - Street 2:#1527
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4523
Practice Address - Country:US
Practice Address - Phone:323-325-5010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC51763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist