Individual provider · Type 1 NPI

Rafael Eduardo Lopez Chicas

Nurse Practitioner · Los Angeles, CA

NPI number 1508715426 Active

Practice location

200 Medical Plaza Suite B265
Los Angeles, CA 90095-0001

Call (818) 581-5550 Map

Fax (818) 581-5550

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

1223 16th St Ste 1100, Santa Monica, CA 90404-1217 · (424) 259-8777

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95038297 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508715426

Rafael Eduardo Lopez Chicas's National Provider Identifier is 1508715426, issued on Jan 23, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 1, 2026.