1871750604

Everything you always wanted to know about LOZANO DIEGO JUAN MD 1 LOZANO VARGAS DIEGO JUAN MD but were afraid to ask.

LOZANO DIEGO JUAN MD 1 LOZANO VARGAS DIEGO JUAN MD

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Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Last Name Provider Other Middle Name Provider Other First Name Provider Other Credential
LOZANO DIEGO JUAN MD 1 LOZANO VARGAS DIEGO JUAN MD
Gender:
Male
Enumeration date:
2008-05-20
Last update date:
2017-09-29
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for JUAN, LOZANO in
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
2085N0700X Neuroradiology FL ME112580 N
2085N0904X Nuclear Radiology FL ME112580 N
2085R0202X Diagnostic Radiology CA A144652 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 3103748191
Mailing Address Telephone Number (310) 792-4056
Mailing Address Fax Number 3107924093
Practice Location Address Fax Number 3103036834

Addresses

Type Address City State Postal Country
Mailing Address 21311 MADRONA AVE STE 101 TORRANCE CA 90503 CA
Practice Location Address 4101 TORRANCE BLVD TORRANCE CA 90503 CA

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NPI Name Address State City
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