NPI Code Details Logo

NPI 1457229312

NPI 1457229312 : EXPAT MEDICAL GROUP : PANAMA, PANAMA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1457229312
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EXPAT MEDICAL GROUP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/23/2025
-----------------------------------------------------
    Last Update Date     |    10/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    AVE SAMUEL LEWIS Y CALLE 54 ESTE BELLA VISTA OBARRO
-----------------------------------------------------
    City                 |    PANAMA
-----------------------------------------------------
    State                |    PANAMA
-----------------------------------------------------
    Zip                  |    08010
-----------------------------------------------------
    Country              |    PA
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    333 H ST STE 5000 
-----------------------------------------------------
    City                 |    CHULA VISTA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    91910-5561
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-318-5370
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     ALBERTO  LOZA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    619-318-5370
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207PE0004X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medical Services (Emergency Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.