Ebagua, Etinosa Lopez

Ebagua, Etinosa Lopez is an individual health care provider with primary practice located at 1075 W Betteravia Rd , Santa Maria CA 93455. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Ebagua, Etinosa Lopez can be contacted via phone (805) 621-7651.

Contact Information

Primary practice address
1075 W Betteravia Rd Santa Maria CA 93455
Phone: (805) 621-7651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1700655701
LBN Legal business name Ebagua, Etinosa Lopez
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2024
Last updated Sep 11th, 2025 - about last year

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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