Individual
LUPE YEPEZ- MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
138 W MAIN ST, SUITE E, VENTURA, CA 93001-2584
(805) 667-2850
(805) 652-0708
Mailing address
2705 LOMA VISTA RD, SUITE 205, VENTURA, CA 93003-1581
(805) 667-2801
(805) 641-1706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
500919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM08608F
—
CA
05
—
RHM08609F
—
CA
05
—
RHM18553H
—
CA
05
—
ZZT40394F
—
CA
Enumeration date
10/16/2006
Last updated
07/09/2007
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