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Individual
DR. MARIA GUADALUPE TARIN-LOPEZ
Active
Individual
DR. MARIA GUADALUPE TARIN-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13679T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BJ376X
MEDICARE PTAN
CA
01
—
BJ376Y
MEDICARE PTAN
CA
Enumeration date
12/08/2008
Last updated
02/11/2022
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