Aldalur, Maydole Lopez

Aldalur, Maydole Lopez is an individual health care provider with primary practice located at 12100 Euclid St , Garden Grove CA 92840-3304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Aldalur, Maydole Lopez can be contacted via phone (833) 574-2273.

Contact Information

Primary practice address
12100 Euclid St Garden Grove CA 92840-3304
Phone: (833) 574-2273
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 95000492 California

Profile Details

NPI number 1811317001
LBN Legal business name Aldalur, Maydole Lopez
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2014
Last updated Jan 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811317001 NPPES
California Other 755895 BOARD OF REGISTERED NURSING
California Other 95000492 BOARD OF REGISTERED NURSING

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