Lopez, Maria Elena

Lopez, Maria Elena is an sole proprietor health care provider with primary practice located at 325 Villa Terrace , San Mateo CA 94401. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Lopez, Maria Elena can be contacted via phone (650) 898-5319.

Contact Information

Primary practice address
325 Villa Terrace San Mateo CA 94401
Phone: (650) 898-5319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1467991778
LBN Legal business name Lopez, Maria Elena
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2017
Last updated Feb 20th, 2017 - about 9 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 1467991778 NPPES
California MEDICAID 92025722A39054

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