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Contact Information

MAYRA T AVILA LOPEZ
1401 L ST
BAKERSFIELD, CA93301-4522
 Phone: 661-868-6100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MAYRA T AVILA LOPEZ · (Female)

NPI # 1346951498
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2022
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 13861
Hospital affiliation(s) Not Available
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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