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NPI Code Detail

MEDICARE: MARIA STEPHANIE LOZANO

MEDICARE:   MARIA STEPHANIE LOZANO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245872084
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA STEPHANIE LOZANO
Provider Business Mailing Address
First Line : 1710 W 23RD ST APT 1
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-2103
Country : US
Telephone Number : 323-632-3225
Fax Number :
Provider Business Practice Location Address
First Line : 13920 CITY CENTER DR STE 290
Second Line :
City : CHINO HILLS
State : CA
Zip : 91709-5444
Country : US
Telephone Number : 626-899-4703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2019
Last Update Date : 10/14/2019

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Directions to “ MARIA STEPHANIE LOZANO ” Practice Location

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