Azahar Lopez Escamilla in Orange - Clinical
Azahar Lopez Escamilla - NPI 1104906064
Azahar Lopez Escamilla is a Clinical in Orange, California. Azahar Lopez Escamilla practices all healthcare services and medical treatments related to Clinical. The NPI Number for Azahar Lopez Escamilla is 1104906064. The last update date is 2007-07-08.
Azahar Lopez Escamilla's current location address is Po Box 1374, Orange, California. You can contact this provider via phone number 7148013739 and fax number 7145381108. The mailing address for Azahar Lopez Escamilla is Po Box 1374, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Azahar Lopez Escamilla |
|---|---|
| Address | Po Box 1374, Orange, California |
| Phone Number | 7148013739 |
| Fax Number | 7145381108 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1104906064 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1374 |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928560374 |
| Phone Number | 7148013739 |
| Fax Number | 7145381108 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY16792 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY167920 | CA | MEDI-CAL |
Post Comment/ Review Below
What is the Azahar Lopez Escamilla's unique identification number?
The Azahar Lopez Escamilla has been assigned the NPI (National Provider Identifier) Number 1104906064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Azahar Lopez Escamilla is located?
The Azahar Lopez Escamilla is situated at the following address: Po Box 1374, Orange, CA, 928560374.
What is Azahar Lopez Escamilla's specialized field of practice, and what is the corresponding taxonomy classification code?
The Azahar Lopez Escamilla's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104906064 to Azahar Lopez Escamilla?
The Centers for Medicare & Medicaid Services originally issued the 1104906064 to Azahar Lopez Escamilla on 2006-10-16.
When was the information related to Azahar Lopez Escamilla most recently updated or refreshed?
The details pertaining to the Azahar Lopez Escamilla, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.