Lopez, Marco Oliver Dugan

Lopez, Marco Oliver Dugan is an sole proprietor health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has 7 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Lopez, Marco Oliver Dugan can be contacted via phone (415) 476-7730.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 476-7730
Fax: (415) 476-7320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95000845 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95000845 California
Nursing Service Providers / Ambulatory Care 163WP2201X 716471 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95000854 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95000854 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2015009739 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 2013001613 California
Nursing Service Providers / Registered Nurse 163W00000X 716471 California

Profile Details

NPI number 1366856304
LBN Legal business name Lopez, Marco Oliver Dugan
Credentials DNP, FNP, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2014
Last updated Oct 4th, 2024 - about 2 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 1366856304 NPPES
California Other 95000854 CALIFORNIA BOARD OF REGISTERED NURSING NP FURNISHING#
California Other 75207 CALIFORNIA BOARD OF REGISTERED NURSING NP FURNISHING#
California Other 95000854 CALIFORNIA BOARD OF REGISTERED NURSING NP FURNISHING#
California Other 716471 CALIFORNIA BOARD OF REGISTERED NURSING NP FURNISHING#

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