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Individual

MRS. SARA OJEDA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
8110 BIRMINGHAM WAY, BLDG 28, SAN DIEGO, CA 92123-2758
(858) 966-5961
(858) 966-6791
Mailing address
3860 CALLE FORTUNADA, STE #210, SAN DIEGO, CA 92123-4800
(858) 309-6300

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP14008
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
NP14008
CA

Other

Enumeration date
02/01/2007
Last updated
02/07/2012
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