Individual provider · Type 1 NPI

Gonzalo Chacon Lopez

Psychiatric/Mental Health Registered Nurse · Culver City, CA

NPI number 1932889953 Active

Practice location

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818

Call (310) 945-3350 Map

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X95233009 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1932889953

Gonzalo Chacon Lopez's National Provider Identifier is 1932889953, issued on Jul 24, 2023. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Culver City, CA. The record was last updated on Jul 24, 2023.