Lopez, Leopoldo L

Lopez, Leopoldo L is an individual health care provider with primary practice located at 825 Delbon Ave , Turlock CA 95382-2016. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Emergency, which is considered as his primary health care specialty. Lopez, Leopoldo L can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
825 Delbon Ave Turlock CA 95382-2016
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Emergency 364SE0003X PA16258 California

Profile Details

NPI number 1316928484
LBN Legal business name Lopez, Leopoldo L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 16th, 2008 - about 18 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 1316928484 NPPES
California MEDICAID OPA162580

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