MEDICARE: GRACE LOZINSKI M.D.

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	207R00000X	Internal Medicine Physician	A77966	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00048999	OTHER	CA	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1659399582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE LOZINSKI M.D.

Provider Business Mailing Address
First Line	:	5000 BIRCH ST STE 4700
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2187
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 BARRANCA PKWY STE 207
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92604-8648
Country	:	US
Telephone Number	:	949-262-9700
Fax Number	:	949-262-0700

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	06/08/2026

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