Yaqueline Lopez

Individual provider Active NPI Case Manager/Care Coordinator · Taft, CA

NPI 1407381981 · NPPES record last updated Apr 21, 2017

Key facts

NPI
1407381981
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
102 4TH St Ste B
Taft, CA 93268-3516
Phone
(661) 765-7025
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

102 4TH St Ste B
Taft, CA 93268-3516

Mailing address

102 4TH St Ste B
Taft, CA 93268-3516
Phone (661) 765-7025

Other providers in Taft, CA

All providers in Taft, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.