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General NPI Number Information
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NPI Number | 1396373619
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Entity Type | Individual
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Provider Name | JUAN CARLOS LOZANO MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 995 POTRERO AVE. BLDG. 80, FL. 1
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-3518
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Country | US
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Telephone | 628-206-5252
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Fax | 628-206-7505
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Provider Business Mailing Address
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Address Line | PO BOX 743749
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City | LOS ANGELES
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State | CA
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Zip | 90074-3749
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A184062
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License Number State | CA
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