Lomelino, Miriam Elizade
Lomelino, Miriam Elizade is an individual health care provider with primary practice located at 1320 Las Tablas Rd Suite F, Templeton CA 93465-9711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lomelino, Miriam Elizade can be contacted via phone (805) 434-0025.Contact Information
Primary practice address
1320 Las Tablas Rd Suite F
Templeton CA 93465-9711
Phone: (805) 434-0025
Fax: (805) 434-0029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A72626 | California |
Profile Details
| NPI number | 1619952538 |
|---|---|
| LBN Legal business name | Lomelino, Miriam Elizade |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | May 5th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619952538 | NPPES |
| California | Other | 00A726260 | AETNA PIN |
| California | MEDICAID | 00A726260 | AETNA PIN |
| California | Other | 00A726260 | AETNA PIN |
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