Provider Demographics
NPI:1174793467
Name:LOPEZ, ROBERT TORRES
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:TORRES
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68625 PEREZ RD
Mailing Address - Street 2:STE. 11A
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-7250
Mailing Address - Country:US
Mailing Address - Phone:760-773-6767
Mailing Address - Fax:
Practice Address - Street 1:68625 PEREZ RD
Practice Address - Street 2:STE. 11A
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-7250
Practice Address - Country:US
Practice Address - Phone:760-773-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health