EDGAR ANTONIO LOPEZ (NPI# 1952956971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952956971 |
| Entity Type | Individual |
| Full Name | EDGAR ANTONIO LOPEZ |
| Credential | BA/MSW |
| Practice Address |
161 W Victoria St Long Beach CA 90805-2175 |
| Practice Telephone | 3232425000 |
| Mailing Telephone | 3232425000 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
95990 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29019 Carillo Ct, Moreno Valley, CA 925556501 | 9514880611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676112 | Edgar Lopez | Licensed Vocational Nurse | 3392 Spruce St, Lake Elsinore, CA 92530-1882 | 2012-07-16 |
| 1598712432 | Edgar Karim Lopez | Dentist | 17996 Sw 97th Ave, Miami, FL 33157 | 2006-05-27 |
| 1033747860 | Edgar Ruben Lopez | Internal Medicine | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2020-03-28 |
| 1154989143 | Edgar Gary Lopez | Behavior Technician | 1300 E New Circle Rd Ste 150, Lexington, KY 40505-4322 | 2019-06-04 |
| 1730681289 | Edgar Lopez | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2018-03-01 |
| 1316308752 | Edgar Lopez | Physical Therapy Assistant | 311 Ne 8th St Ste 104, Homestead, FL 33030-4734 | 2016-03-13 |
| 1275877383 | Edgar Francisco Lopez | Specialist/Technologist, Other | 1 Sugar Creek Center Blvd Ste 618, Sugar Land, TX 77478-3540 | 2012-11-15 |
| Street Address |
161 W VICTORIA ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90805-2175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053403899 | Kay Roberson | Marriage & Family Therapist | 161 W Victoria St, Long Beach, CA 90805-2175 | 2006-09-29 |
| 1780299198 | Arlene Jean Baptiste | Rehabilitation Practitioner | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-09-11 |
| 1265059588 | Daisy Rivas | Case Manager/Care Coordinator | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-07-02 |
| 1255955985 | Jade Harris | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-05-28 |
| 1417589102 | Sandra Hernandez | Case Manager/Care Coordinator | 161 W Victoria St, Long Beach, CA 90805-2175 | 2020-02-10 |
| 1629611454 | Genessa Martin | Student in an Organized Health Care Education/Training Program | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-10-24 |
| 1407406325 | Brigitte Fong | Student in an Organized Health Care Education/Training Program | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-12 |
| 1164071007 | Brenda Mendez | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1245889062 | Cindy Colon | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-09-04 |
| 1225686595 | Daushae Preciado | Counselor | 161 W Victoria St, Long Beach, CA 90805-2175 | 2019-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1609345925 | Belmont Rx LLC | Pharmacy | 6583 Atlantic Ave., 1st Floor Ste 109, Long Beach, CA 90805 | 2018-11-15 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1942728589 | Marissa Liana Cabral | Social Worker | 5190 Atantic Ave, Long Beach, CA 90805 | 2017-09-04 |
| 1245757673 | Karina Vasquez | Licensed Vocational Nurse | 1325 E Poppy St, Long Beach, CA 90805 | 2017-08-25 |
| 1376060277 | Rebekkah Dawn Williams | Counselor | 100 East Market Street, Long Beach, CA 90805 | 2017-08-23 |
| 1871038919 | Andrea Dabbs | Pharmacist | 3700 E. South St., Lakewood, CA 90805 | 2016-12-28 |
| 1164972360 | Young Men's Christian Association of Greater Long Beach | Health Educator | 4949 Atlantic Ave, Long Beach, CA 90805 | 2016-10-12 |
| 1043662158 | Kristina Eunjeong Chang | Podiatrist | 3700 E South Street, Lakewood, CA 90805 | 2016-07-13 |
| Find all providers in zip 90805 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851888 | Summer V Vilkins | Counselor | 269 Kennebec Ave Apt 3, Long Beach, CA 90803-5772 | 2020-08-10 |
| 1346875085 | Cherrie-ann K Simon | Counselor | 3503 Linden Ave Apt 207, Long Beach, CA 90807-4532 | 2020-03-03 |
| 1679119507 | Melissa Ann Aguilar | Counselor | 20 W Park Ave Ste 306, Long Beach, NY 11561-2019 | 2019-11-26 |
| 1073154928 | Makando Mutanda | Counselor | 161 West Victoria St., Long Beach, CA 90805 | 2019-10-02 |
| 1477104065 | Sok Khen Kim | Counselor | 841 Gardenia Ave Apt 201, Long Beach, CA 90813-5935 | 2019-09-25 |
| 1174172431 | Sari Klar Mental Health Counseling P.C. | Counselor | 370 W Broadway Apt 6y, Long Beach, NY 11561-3959 | 2019-09-10 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1265094155 | Subha Smith | Counselor | 440 E Freeland St Apt 1, Long Beach, CA 90807-2128 | 2019-07-01 |
| 1750941688 | Chanel Samantha Simpson | Counselor | 920 Atlantic Ave Ste 101, Long Beach, CA 90813-4592 | 2019-06-13 |
| 1801455696 | Linda Dianne Ensch | Counselor | 1517 Pacific Ave N, Long Beach, WA 98631-3596 | 2019-06-06 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90805 |
Please comment or provide details below to improve the information on EDGAR ANTONIO 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.