Provider Demographics
NPI:1720966385
Name:LOPEZ-PENA, LUZ ELENA
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:ELENA
Last Name:LOPEZ-PENA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 W 21ST ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-1856
Mailing Address - Country:US
Mailing Address - Phone:760-937-2202
Mailing Address - Fax:
Practice Address - Street 1:1004 W 21ST ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-1856
Practice Address - Country:US
Practice Address - Phone:760-937-2202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter