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MR. GUSTAVO DANIEL LOPEZ RADT R1500990323
NPI 1407642036
Counselor - Addiction (Substance Use Disorder) in Lake Elsinore, CA

Active since April 18, 2025
600 3RD ST STE C, LAKE ELSINORE, CA 92530(951) 674-5354 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gustavo Daniel Lopez Radt R1500990323 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GUSTAVO DANIEL LOPEZ RADT R1500990323 (NPI 1407642036) is an individual addiction (substance use disorder) provider in Lake Elsinore, California and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1407642036
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GUSTAVO DANIEL LOPEZCredential: RADT R1500990323
Location Address600 3RD ST STE CLake Elsinore, CA 92530-2748
Mailing Address4125 Ballantree StLake Elsinore, CA 92530-2015 · (840) 207-5572
Phone(951) 674-5354
Sole ProprietorNo
Enumeration DateApril 18, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1407642036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
600 3RD ST STE C, Lake Elsinore, CA 92530
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIE MARIE SALAZAR
Counselor (Addiction (Substance Use Disorder))
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
MR. FRANK PERRY MOSCA
Counselor (Addiction (Substance Use Disorder))
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
CHEYENNE MARTIN
Counselor (Addiction (Substance Use Disorder))
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
JOSEPH ROYAL SUD
Counselor
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
SARAH COZART
Counselor (Mental Health)
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
CYNTHIA SANCHEZ
Counselor (Addiction (Substance Use Disorder))
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
DONALD OLSON
Counselor (Addiction (Substance Use Disorder))
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354
AMANDA MARIE HANLEY
Counselor (Addiction (Substance Use Disorder))
600 3RD ST STE C
LAKE ELSINORE, CA 92530
Riverside County (951) 674-5354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Lopez's NPI number?

The NPI number for Gustavo Lopez is 1407642036. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Gustavo Lopez located?

Gustavo Lopez practices at 600 3rd St Ste C, Lake Elsinore, CA 92530. The listed phone number is (951) 674-5354.

What is Gustavo Lopez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gustavo Lopez was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.