Active NPI
Lanae Lopez
- Marriage & Family Therapist
- Culver City, CA
National Provider Identifier
1104559459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT131222
- Practice address
- 5601 W Slauson Ave Ste 220
Culver City, CA 90230-6648 - Phone
- (424) 209-9923
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT131222 | CA | Primary |
Addresses
Primary practice location
5601 W Slauson Ave Ste 220
Culver City, CA 90230-6648
Mailing address
5601 W Slauson Ave Ste 220
Culver City, CA 90230-6648
Phone (424) 209-9923
Other practice location 1
1200 Wilshire Blvd
Los Angeles, CA 90017-1908
Phone (213) 481-7464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT131222 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1104559459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 W SLAUSON AVE STE 220",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306648",
"telephone_number": "424-209-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 W SLAUSON AVE STE 220",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902306648",
"telephone_number": "424-209-9923"
}
],
"practiceLocations": [
{
"address_1": "1200 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900171908",
"country_code": "US",
"telephone_number": "213-481-7464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "LANAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT131222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.