Lopez, Cassondra Rose

Lopez, Cassondra Rose is an individual health care provider with primary practice located at 1237 Green Oak Rd , Vista CA 92081. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lopez, Cassondra Rose can be contacted via phone (951) 306-6514.

Contact Information

Primary practice address
1237 Green Oak Rd Vista CA 92081
Phone: (951) 306-6514
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21043 California

Profile Details

NPI number 1346593241
LBN Legal business name Lopez, Cassondra Rose
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated May 21st, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346593241 NPPES
California Other 519423 MEDI-CAL DOCUMENT NUMBER

Popular Providers