Lopez, Amy Rene
Lopez, Amy Rene is an sole proprietor health care provider with primary practice located at 1600 E Florida Ave Ste 103 , Hemet CA 92544-8637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lopez, Amy Rene can be contacted via phone (951) 929-8121.Contact Information
Primary practice address
1600 E Florida Ave Ste 103
Hemet CA 92544-8637
Phone: (951) 929-8121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA19385 | California |
Profile Details
| NPI number | 1316135460 |
|---|---|
| LBN Legal business name | Lopez, Amy Rene |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2007 |
| Last updated | Apr 30th, 2015 - about 10 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 | 1316135460 | NPPES |
| California | Other | PA19385 | PHYISICAN ASSISTANT |
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