| Irving Eulises Lopez, LCSW | |
|
250 S G St, San Bernardino, CA 92410-3320 | |
| (909) 382-7100 | |
| Not Available |
| Full Name | Irving Eulises Lopez |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 250 S G St, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164117917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW110337 (California) | Primary |
| Entity Name | Sac Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935923 PECOS PAC ID: 4385533579 Enrollment ID: O20040315000608 |
| Mailing Address | Practice Location Address |
|---|---|
| Irving Eulises Lopez, LCSW 569 Overleaf Way, San Jacinto, CA 92582-3797 Ph: () - | Irving Eulises Lopez, LCSW 250 S G St, San Bernardino, CA 92410-3320 Ph: (909) 382-7100 |
Ms. Crystal Lynn Blakkan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302 | |
Emily J. Taylor, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-648-7643 | |
Enas Joseph, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 700 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-6940 | |
Monique Castaneda, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 820 E Gilbert St, San Bernardino, CA 92415 Phone: 909-387-7200 | |
Susan Kimberly Gilliam, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2080 S E St, San Bernardino, CA 92408 Phone: 909-388-9191 | |
Rajvi Patel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1738 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-693-3302 | |
Dr. Ray Everett Liles, DSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1255 E Highland Ave Ste 107, San Bernardino, CA 92404 Phone: 909-645-8579 |