Lopez, Marco Oliver Dugan
Lopez, Marco Oliver Dugan is an sole proprietor health care provider with primary practice located at 52 Dore St , San Francisco CA 94103-3828. He recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Ambulatory Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lopez, Marco Oliver Dugan can be contacted via phone (415) 861-0828.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 716471 | California |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 2013001613 | California |
| Nursing Service Providers / Ambulatory Care | 163WP2201X | 716471 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95000854 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 2015009739 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 95000845 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95000845 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95000854 | California |
Profile Details
| NPI number | 1366856304 |
|---|---|
| LBN Legal business name | Lopez, Marco Oliver Dugan |
| Credentials | DNP, FNP, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2014 |
| Last updated | Jan 18th, 2024 - about 10 months 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 | 1366856304 | NPPES |
| California | Other | 75207 | CALIFORNIA BOARD OF REGISTERED NURSING PHN# |
| California | Other | 95000854 | CALIFORNIA BOARD OF REGISTERED NURSING PHN# |
| California | Other | 95000854 | CALIFORNIA BOARD OF REGISTERED NURSING PHN# |
| California | Other | 716471 | CALIFORNIA BOARD OF REGISTERED NURSING PHN# |
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