Search › California › 1041C0700X

Miguel Moreno Lopez, MSW, LCSW, NCICS

NPI 1124487988 · on the registry since 2016

Practice

Address
31946 Mission Trl Ste B
Lake Elsinore, CA 92530
Phone
(951) 471-4300
Fax
(951) 674-6431
Organisation at this address
County Of Riverside
Genesis Pharmacy Corp
Genesis Pharmacy Corp
Dr. Javier Rios, A Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
104100000X
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California