Jorge Lepe
Individual provider Active NPI Peer Specialist · Mojave, CA
NPI 1033749213 · NPPES record last updated Jan 16, 2020
Key facts
- NPI
- 1033749213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 16940 Highway 14 Ste C
Mojave, CA 93501-1238 - Phone
- (661) 584-2260
- NPI assigned
- Jan 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
16940 Highway 14 Ste C
Mojave, CA 93501-1238
Mailing address
16940 Highway 14 Ste C
Mojave, CA 93501-1238
Phone (661) 584-2260
Other providers in Mojave, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.