MEDICARE: JUAN GILBERTO 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	1223G0001X	General Practice Dentistry	106098	CA

General Provider Information

NPI Number	:	1912589078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN GILBERTO LOZANO

Provider Business Mailing Address
First Line	:	11629 LOWER AZUSA RD STE H
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1389
Country	:	US
Telephone Number	:	626-672-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	11629 LOWER AZUSA RD STE H
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91732-1389
Country	:	US
Telephone Number	:	626-672-0224
Fax Number	:

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

Provider Enumeration Date	:	04/27/2021
Last Update Date	:	01/28/2026

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Directions to “ JUAN GILBERTO LOZANO ” Practice Location

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