Barruga, Marvin James Lopez

Barruga, Marvin James Lopez is an sole proprietor health care provider with primary practice located at 850 S Atlantic Blvd Ste 201 , Monterey Park CA 91754-6705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Barruga, Marvin James Lopez can be contacted via phone (909) 570-9108.

Contact Information

Primary practice address
850 S Atlantic Blvd Ste 201 Monterey Park CA 91754-6705
Phone: (909) 570-9108
Fax: (909) 570-9334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X NA 2607 California

Profile Details

NPI number 1548345143
LBN Legal business name Barruga, Marvin James Lopez
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2006
Last updated Jan 10th, 2020 - about 4 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 1548345143 NPPES
Other ZZZ236442Z PPIN

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