Provider Demographics
NPI:1760662506
Name:LOPEZ, VERONICA YULET
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:YULET
Last Name:LOPEZ
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 1:680 S WILTON PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-3200
Mailing Address - Country:US
Mailing Address - Phone:213-365-7400
Mailing Address - Fax:213-383-1280
Practice Address - Street 1:680 S WILTON PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-3200
Practice Address - Country:US
Practice Address - Phone:213-365-7400
Practice Address - Fax:213-383-1280
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management