Leticia Lopez
Leticia Lopez is a Nurse Practitioner in San Fernando, California. Qualified in 2015, 11 years ago. Practices with Northeast Valley Health Corporation, a 76-clinician group. Licensed in California.
- Years since qualifying
- 11
- Licensed in
- CA
- In the registry since
- 2016
Practice location Address checks out
1172 N Maclay AveSan Fernando, CA 91340-1328
Phone: (818) 898-1388
Fax: (818) 270-9590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 95004130 (CA) |
|---|
Record details
| NPI number | 1831547249 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 25, 2016 |
| Last updated in NPPES | May 25, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Northeast Valley Health Corporation — 76 clinicians |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 6 on file with Medicare |