MEDICARE: YINELI S BELTRAN LOZOYA

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
1	3416A0800X	Air Ambulance

General Provider Information

NPI Number	:	1790565430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YINELI S BELTRAN LOZOYA

Provider Business Mailing Address
First Line	:	6396 VIEWPOINT CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92139-2436
Country	:	US
Telephone Number	:	619-636-5979
Fax Number	:

Provider Business Practice Location Address
First Line	:	6396 VIEWPOINT CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92139-2436
Country	:	US
Telephone Number	:	619-636-5979
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2023
Last Update Date	:	10/02/2023

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