National Provider Identifier Database

MAYRA T AVILA LOPEZ
Professional


Contact Information

MAYRA T AVILA LOPEZ
1401 L ST
BAKERSFIELD, CA93301-4522
Phone: 661-868-6100
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for MAYRA T AVILA LOPEZ

NPI Number 1346951498
Credentials
Entity Individual
Enumeration date 12/09/2022
Last updated 09/06/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 13861
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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