Monique A Lopez

Individual provider Active NPI Peer Specialist · Anza, CA

NPI 1700711413 · NPPES record last updated Jun 15, 2026

Key facts

NPI
1700711413
Entity type
Individual (NPI type 1)
Primary specialty
Peer Specialist 175T00000X
Practice address
PO Box 390749
Anza, CA 92539-0749
Phone
(951) 349-4195
NPI assigned
Jun 15, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CA Yes

Addresses

Primary practice location

PO Box 390749
Anza, CA 92539-0749

Mailing address

PO Box 390749
Anza, CA 92539-0749

Other providers in Anza, CA

All providers in Anza, CA · Peer Specialist in California

Sources for this page

Verify at the official NPI Registry.