MEDICARE: PATRICIA LOMELI

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	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1619167913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA LOMELI

Provider Business Mailing Address
First Line	:	11731 TELEGRAPH RD STE E
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-6821
Country	:	US
Telephone Number	:	626-348-4306
Fax Number	:

Provider Business Practice Location Address
First Line	:	11731 TELEGRAPH RD STE E
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-6821
Country	:	US
Telephone Number	:	626-348-4306
Fax Number	:

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

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	02/08/2011

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Directions to “ PATRICIA LOMELI ” Practice Location

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