Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gustavo Daniel Lopez, RADTR1500990323

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407642036

Mr. Gustavo Daniel Lopez, RADTR1500990323 is an Addiction (Substance Use Disorder) Counselor in Lake Elsinore, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

600 3rd St Ste C
Lake Elsinore, CA 92530-2748
Phone: (951) 674-5354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1407642036
Entity typeIndividual (Type 1)
GenderMale
Credentials RADTR1500990323
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 23, 2025
Certification dateApril 23, 2025

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