Lopez, Jennilyn T

Lopez, Jennilyn T is an individual health care provider with primary practice located at 9131 Adams Ave , Huntington Beach CA 92646-3462. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lopez, Jennilyn T can be contacted via phone (714) 845-5900.

Contact Information

Primary practice address
9131 Adams Ave Huntington Beach CA 92646-3462
Phone: (714) 845-5900
Fax: (714) 845-5922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19759 California

Profile Details

NPI number 1568628881
LBN Legal business name Lopez, Jennilyn T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Nov 11th, 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 1568628881 NPPES
California MEDICAID FHC71014F

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