Lopez, Glen Martin

Lopez, Glen Martin is an sole proprietor health care provider with primary practice located at 1160 S Grand Ave , Glendora CA 91740-5000. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Lopez, Glen Martin can be contacted via phone (626) 335-5980.

Contact Information

Primary practice address
1160 S Grand Ave Glendora CA 91740-5000
Phone: (626) 335-5980
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X PT 36343 California

Profile Details

NPI number 1942567946
LBN Legal business name Lopez, Glen Martin
Credentials LPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2012
Last updated Apr 13th, 2012 - about 14 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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