Tarin-Lopez, Maria Guadalupe

Tarin-Lopez, Maria Guadalupe is an sole proprietor health care provider with primary practice located at 461 Skymaster Cir , Travis Afb CA 94535-1909. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Tarin-Lopez, Maria Guadalupe can be contacted via phone (707) 437-4095.

Contact Information

Primary practice address
461 Skymaster Cir Travis Afb CA 94535-1909
Phone: (707) 437-4095
Fax: (707) 437-4095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 13679T California

Profile Details

NPI number 1174768964
LBN Legal business name Tarin-Lopez, Maria Guadalupe
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2008
Last updated Feb 11th, 2022 - about 2 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 1174768964 NPPES
California Other BJ376X MEDICARE PTAN
California Other BJ376Y MEDICARE PTAN

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