Healthcare Provider Details
I. General information
NPI: 1477677359
Provider Name (Legal Business Name): MARGARITA LOZADA FERNANDEZ CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/18/2007
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1216 BAYSIDE CIRCLE
OXNARD CA
93035-2147
US
IV. Provider business mailing address
1216 BAYSIDE CIR
OXNARD CA
93035-2147
US
V. Phone/Fax
- Phone: 805-815-4400
- Fax: 805-815-4848
- Phone: 805-984-1270
- Fax: 805-815-4848
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | RNP 264154 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | RNP 264154 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: