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Oscar Lopez Felix Jr.

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fowler, CA

NPI 1306552112 · NPPES record last updated Jan 25, 2023

Key facts

NPI
1306552112
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
14634 (CA)
Practice address
311 E Merced St
Fowler, CA 93625-2316
Phone
(559) 892-9452
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Prodigy Healthcare Non Profit Current
since Jan 29, 2023		 Accepting new patients
Prodigy Healthcare Inc. Addiction (Substance Use Disorder) Past
since Jan 29, 2023		 Accepting new patients

Locations

311 E Merced St
Fowler, CA 93625
Phone (555) 892-9452

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14634 CA Yes

Addresses

Primary practice location

311 E Merced St
Fowler, CA 93625-2316

Mailing address

311 E Merced St
Fowler, CA 93625-2316
Phone (559) 892-9452

Other providers in Fowler, CA

All providers in Fowler, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.