CECILIA AMADOR LOPEZ


Address: 901 W Whittier Blvd, Montebello, CA 90640-4737
Phone: 3237288588

CECILIA AMADOR LOPEZ (NPI# 1508919259) 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) 1508919259
Entity Type Individual
Full Name CECILIA AMADOR LOPEZ
Credential FNP
Practice Address 901 W Whittier Blvd
Montebello
CA 90640-4737
Practice Telephone 3237288588
Practice Fax Number 3237284444
Mailing Telephone 3237288588
Mailing Fax Number 3237284444
Enumeration Date 2007-01-18
Last Update Date 2015-03-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
FNP11421 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE 11420 01
CA NP0114210 05

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Office Location

Street Address 901 W WHITTIER BLVD
City MONTEBELLO
State CA
Zip Code 90640-4737

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City MONTEBELLO
Zip Code 90640

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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