Lopez, Kimberly Belen

Lopez, Kimberly Belen is an individual health care provider with primary practice located at 1290 Tavern Rd , Mammoth Lakes CA 93546-6601. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Lopez, Kimberly Belen can be contacted via phone (760) 924-1740.

Contact Information

Primary practice address
1290 Tavern Rd Mammoth Lakes CA 93546-6601
Phone: (760) 924-1740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 390200000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW112171 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1700553302
LBN Legal business name Lopez, Kimberly Belen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2021
Last updated Oct 26th, 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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