Individual ProviderMaria Eloisa LopezMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address10990 Wilshire Blvd Ste 250, Los Angeles, CA 90024-3932(415) 360-3833PECOS EnrollmentBased on the most recent information from CMS, provider Maria Eloisa Lopez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821556549Provider TypeIndividualFull NameLopez, Maria EloisaTitleMs.GenderFemaleSole ProprietorYesEnumeration Date3/12/2019Last Updated1/12/2024Contact InformationPractice LocationPractice Address10990 Wilshire Blvd Ste 250, Los Angeles, CA 90024-3932Phone(415) 360-3833FaxUnlisted FaxMailing LocationMailing AddressPO Box 1215, Gardena, CA 90249-0215PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer