Provider Demographics
NPI:1881383032
Name:OLIVARES LOPEZ, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:OLIVARES LOPEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 E 230TH ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-4825
Mailing Address - Country:US
Mailing Address - Phone:310-270-2272
Mailing Address - Fax:
Practice Address - Street 1:158 E 230TH ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-4825
Practice Address - Country:US
Practice Address - Phone:310-270-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula