MEDICARE: DIANA 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	1041C0700X	Clinical Social Worker	129235	CA

General Provider Information

NPI Number	:	1811413040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA LOZANO

Provider Business Mailing Address
First Line	:	1300 S GRAND AVE BLDG B3
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-4434
Country	:	US
Telephone Number	:	714-567-7688
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 S GRAND AVE STE B
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-4434
Country	:	US
Telephone Number	:	714-567-7688
Fax Number	:	714-567-5140

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

Provider Enumeration Date	:	08/18/2017
Last Update Date	:	02/24/2026

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Directions to “ DIANA LOZANO ” Practice Location

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