Lopez, Mario Alberto

Lopez, Mario Alberto is an individual health care provider with primary practice located at 8788 Jamacha Rd , Spring Valley CA 91977-4035. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lopez, Mario Alberto can be contacted via phone (619) 515-2555.

Contact Information

Primary practice address
8788 Jamacha Rd Spring Valley CA 91977-4035
Phone: (619) 515-2555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA21385 California

Profile Details

NPI number 1932335080
LBN Legal business name Lopez, Mario Alberto
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2009
Last updated Mar 17th, 2018 - about 8 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 1932335080 NPPES
California Other W5352 UPIN

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