MEDICARE: CHRISTIAN LOZANO

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	106H00000X	Marriage & Family Therapist	153173	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	106S00000X	Behavior Technician
4	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1477902120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN LOZANO

Provider Business Mailing Address
First Line	:	1329 BROADWAY APT D
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92021-5859
Country	:	US
Telephone Number	:	213-663-4206
Fax Number	:

Provider Business Practice Location Address
First Line	:	1329 BROADWAY APT D
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92021-5859
Country	:	US
Telephone Number	:	213-663-4206
Fax Number	:

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

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	01/20/2026

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Directions to “ CHRISTIAN LOZANO ” Practice Location

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