| Stephanie Lopez, | |
|
4601 Dale Rd Ste 2a2, Modesto, CA 95356-9718 | |
| (209) 735-7040 | |
| Not Available |
| Full Name | Stephanie Lopez |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 1 Years |
| Location | 4601 Dale Rd Ste 2a2, Modesto, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134006778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 4071 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Lopez, 4601 Dale Rd Ste 2a2, Modesto, CA 95356-9718 Ph: (209) 735-7040 | Stephanie Lopez, 4601 Dale Rd Ste 2a2, Modesto, CA 95356-9718 Ph: (209) 735-7040 |
Central Valley Hearing Health Audiologist Medicare: Medicare Enrolled Practice Location: 1729 Tully Rd Ste 1, Modesto, CA 95350 Phone: 209-678-1420 |
Ms. Theresa Kathryn Wilksen, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3401 Dale Rd, Modesto, CA 95356 Phone: 209-527-7739 Fax: 209-521-0776 |
Dr. Carissa Lamore, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097 |
Marilyn Marie Dixon-brown, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Head And Neck Surgery Audiology, Modesto, CA 95356 Phone: 209-735-7040 |
Letta Danielle Wesley, M.S. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1729 Tully Rd Ste 1, Modesto, CA 95350 Phone: 209-638-0500 Fax: 209-638-0555 |
Andrea Nichole Edgerton, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 |
Leigh Tyner Grossmann, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211 |