GLEN MARTIN LOPEZ LPT
NPI 1942567946
Licensed Psychiatric Technician in Glendora, CA

Active since April 13, 2012
1160 S GRAND AVE, GLENDORA, CA 91740(626) 335-5980 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glen Martin Lopez Lpt NPPES

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

GLEN MARTIN LOPEZ LPT (NPI 1942567946) is an individual licensed psychiatric technician in Glendora, California, licensed in California (PT 36343) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1942567946
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameGLEN MARTIN LOPEZCredential: LPT
Location Address1160 S GRAND AVEGlendora, CA 91740-5000
Mailing Address851 S Sunset Ave, Apt 186West Covina, CA 91790-5510 · (626) 234-6348
Sole ProprietorYes
Enumeration DateApril 13, 2012
NPI 1942567946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · PT 36343
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
1160 S GRAND AVE, Glendora, CA 91740

Other Providers at the Same Location NPPES 20

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

Licensed Psychiatric Technician
1160 S GRAND AVE
GLENDORA, CA 91740
Marriage & Family Therapist
1160 S GRAND AVE
GLENDORA, CA 91740
Rehabilitation Practitioner
1160 S GRAND AVE
GLENDORA, CA 91740
Community Health Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Counselor (Mental Health)
1160 S GRAND AVE
GLENDORA, CA 91740
Community Health Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Social Worker
1160 S GRAND AVE
GLENDORA, CA 91740
Social Worker (Clinical)
1160 S GRAND AVE
GLENDORA, CA 91740

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 Glen Lopez's NPI number?

The NPI number for Glen Lopez is 1942567946. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Glen Lopez located?

Glen Lopez practices at 1160 S Grand Ave, Glendora, CA 91740. The listed phone number is (626) 335-5980.

What is Glen Lopez's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Glen Lopez was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.