MEDICARE: CECILA LOTAKI CPT-02425582

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	246RP1900X	Phlebotomy Technician	CPT-02425582	CA

General Provider Information

NPI Number	:	1205764313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILA LOTAKI CPT-02425582

Provider Business Mailing Address
First Line	:	16827 CALIFORNIA AVE
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5013
Country	:	US
Telephone Number	:	562-681-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	18000 STUDEBAKER RD STE 700
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-2684
Country	:	US
Telephone Number	:	562-681-3474
Fax Number	:

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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