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Contact Information

JACQUELINE MORRIS LOPEZ, PA
108 GREEN VALLEY RD
FREEDOM, CA95019
 Phone: 831-319-4194
 Fax: 831-314-4198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACQUELINE MORRIS LOPEZ · (Female)

NPI Number 1538277819
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/28/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA14539
  • CA Other N3144198 DRIVER LICENSE
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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