Individual provider · Type 1 NPI

Raymond Lopez

Licensed Psychiatric Technician · Fontana, CA

NPI number 1104590470 Active

Practice location

14677 Merrill Ave
Fontana, CA 92335-4219

Call (951) 643-2340 Map

Mailing address

8950 Magnolia Ave Unit 213
Montclair, CA 91763-1461

Specialties and licenses

TaxonomyCodeLicense
Licensed Psychiatric Technician Primary 167G00000X42062 (CA)

Licensed Psychiatric Technician: An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental dis…

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About NPI 1104590470

Raymond Lopez's National Provider Identifier is 1104590470, issued on Aug 2, 2021. The primary taxonomy on file is Licensed Psychiatric Technician (167G00000X), and the practice location is in Fontana, CA. The record was last updated on Aug 2, 2021.