Ayala, Jeannette Lopez

Ayala, Jeannette Lopez is an individual health care provider with primary practice located at 847 W Childs Ave , Merced CA 95341-6862. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ayala, Jeannette Lopez can be contacted via phone (209) 383-7441.

Contact Information

Primary practice address
847 W Childs Ave Merced CA 95341-6862
Phone: (209) 383-7441
Fax: (209) 383-1643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G60906 California

Profile Details

NPI number 1477536373
LBN Legal business name Ayala, Jeannette Lopez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Mar 7th, 2023 - 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 1477536373 NPPES
California Other 00G609060 BLUE SHIELD OF CA PIN
California MEDICAID 00G609060 BLUE SHIELD OF CA PIN
California Other 062214 BLUE SHIELD OF CA PIN

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