EDNA M OSORIO LOPEZ


Address: 926 W Philadelphia St Unit 84, Ontario, CA 91762-6240
Phone: 9092385267

EDNA M OSORIO LOPEZ (NPI# 1346885878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346885878
Entity Type Individual
Full Name EDNA M OSORIO LOPEZ
Practice Address 926 W Philadelphia St Unit 84
Ontario
CA 91762-6240
Practice Telephone 9092385267
Mailing Telephone 9092385267
Enumeration Date 2019-11-07
Last Update Date 2019-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TR0400X Psychologist
Specialization: Rehabilitation
OTA3935 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NA NA 01

Office Location

Street Address 926 W PHILADELPHIA ST UNIT 84
City ONTARIO
State CA
Zip Code 91762-6240

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Taxonomy Information

Taxonomy Code 103TR0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1508230541 David Reynoso Psychologist 5175 Flora St, Montclair, CA 91763-3865 2015-11-13
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1346687605 John Terrance Hackett Psychologist 9226 Hinton Ave, Delhi, CA 95315-8200 2013-05-28
1982965091 Consuelo Flores Psychologist 454 N Wiget Ln, Walnut Creek, CA 94598-2408 2012-06-05
1245544287 Cari Freeman Psychologist 3120 Cohasset Rd Ste 6, Valley Oak Children's Services, Chico, CA 95973-0978 2010-08-02
1477790319 Natalie Olivia Orosco Psychologist 15835 Avenida Venusto, Apt 426, San Diego, CA 92128-3318 2009-01-14
1376794560 Jwch Institute, Inc. Psychologist 521 S. San Pedro Street, Los Angeles, CA 90013-2148 2008-10-06
1346418670 Marilyn Susan Martinez Psychologist 2737 W, Cecil Ave., Delano, CA 93215 2008-02-20
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Competitor

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City ONTARIO
Zip Code 91762

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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