Jose Lopez I, is a
Student In An Organized Health Care Education/training Program based in El Centro, California. Jose Lopez I is licensed to practice in * (Not Available) (license number ) and his current practice location is
1415 Ross Ave, El Centro, California. He can be reached at his office (for appointments etc.) via phone at
(769) 339-7100.
NPI number for Jose Lopez I is 1639575566 and his current mailing address is 2072 Chaparral Dr, El Centro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639575566.
Healthcare Provider's Profile
| Full Name | Jose Lopez I |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1415 Ross Ave, El Centro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639575566
- Provider Enumeration Date: 11/04/2014
- Last Update Date: 07/12/2022
Medical Identifiers
Medical identifiers for Jose Lopez I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639575566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose Lopez I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jose Lopez I,
2072 Chaparral Dr,
El Centro, CA 92243-6115
Ph: (442) 270-5061 | Jose Lopez I,
1415 Ross Ave,
El Centro, CA 92243-4306
Ph: (769) 339-7100 |
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