Individual
MRS. AMELIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
580 COLLINS DR., MERCED, CA 95348
(209) 383-0989
(209) 383-6836
Mailing address
580 COLLINS DR., MERCED, CA 95348
(209) 383-0989
(209) 383-6836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11657
CA
363AM0700X
Medical Physician Assistant
Primary
PA11657
CA
Other
Enumeration date
02/23/2007
Last updated
11/12/2019
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