Individual
DIANA HELEN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
50 W LEMON AVE STE 31, MONROVIA, CA 91016-6152
(323) 410-0021
(323) 410-2001
Mailing address
50 W LEMON AVE STE 31, MONROVIA, CA 91016-6152
(323) 410-0021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95022261
PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
CA
Enumeration date
04/08/2021
Last updated
09/13/2023
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