Elden Isaac Lopez Samayoa
MD | Pediatrics | Male
Elden Isaac Lopez Samayoa, MD is a Pasco, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elden Isaac Lopez Samayoa is
4719 W Margaret St, Pasco, Washington - 99301-2822. He can be contacted on phone at
909-486-3206.
Elden Isaac Lopez Samayoa is a sole proprietor of his business.
NPI number (Unique professional ID) for Elden Isaac Lopez Samayoa is
1699752295 which was assigned by NPPES on 27 Dec, 2005 and it was last updated on 08 Dec, 2015.
Elden Isaac Lopez Samayoa license number is
MD00027394 for Pediatrics (208000000X) in Washington.
Elden Isaac Lopez Samayoa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Elden Isaac Lopez Samayoa basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Elden Isaac Lopez Samayoa |
|---|
| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Elden Isaac Lopez Samayoa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4719 W Margaret St
Pasco, WA, 99301-2822
United States |
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| Phone Number : | 909-486-3206 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699752295 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Dec, 2005 |
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| Last Updated On : | 08 Dec, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elden Isaac Lopez Samayoa are as mentioned. Primary taxonomy code for Elden Isaac Lopez Samayoa, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207Q00000X | Family Medicine | No | A49982 | CA |
| 208000000X | Pediatrics | Yes | MD00027394 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Elden Isaac Lopez Samayoa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1059633 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4719 W Margaret St
Pasco, WA, 99301-2822
United States |
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| Phone Number : | 909-486-3206 |
|---|
Business Location:
Patients can refer following map for directions to
Elden Isaac Lopez Samayoa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.