Provider Demographics
NPI:1992422315
Name:GOPEZ, KARYL DRAPETE (MLS)
Entity type:Individual
Prefix:MRS
First Name:KARYL
Middle Name:DRAPETE
Last Name:GOPEZ
Suffix:
Gender:F
Credentials:MLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 N ROSE ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2019
Mailing Address - Country:US
Mailing Address - Phone:213-290-7533
Mailing Address - Fax:
Practice Address - Street 1:4580 ELECTRONICS PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90039-1008
Practice Address - Country:US
Practice Address - Phone:818-502-5910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMTA-00045414246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist