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Provider Information for 1033367461

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MRS. BERONICA LOPEZ

Gender: FEMALE

Individual NPI: 1033367461

Calendar   Last Updated:  2008-08-27
  Certification Date: 

Details

Name Value
NPI 1033367461
Enumeration Date 2008-08-27
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 1000 VALE TERRACE DR
VISTA, CA 92084-5218
United States

Phone: 760-407-1220 | Fax:
View Map External Link
Primary Practice Address 1000 VALE TERRACE DR
VISTA, CA 92084-5218
United States

Phone: 760-407-1220 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 171M00000X - Case Manager/Care Coordinator