Lopez, Liduvina

Lopez, Liduvina is an individual health care provider with primary practice located at 9527 Madison Ave , South Gate CA 90280-4229. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Lopez, Liduvina can be contacted via phone (323) 601-3321.

Contact Information

Primary practice address
9527 Madison Ave South Gate CA 90280-4229
Phone: (323) 601-3321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 91192 California

Profile Details

NPI number 1356922363
LBN Legal business name Lopez, Liduvina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2021
Last updated Apr 20th, 2021 - 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 1356922363 NPPES
California MEDICAID 91192

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