Provider Demographics
NPI:1396341236
Name:LOZANO, SABRINA MARIE
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:MARIE
Last Name:LOZANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4080 PEDLEY RD SPC 16
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-2843
Mailing Address - Country:US
Mailing Address - Phone:909-235-3209
Mailing Address - Fax:
Practice Address - Street 1:4080 PEDLEY RD SPC 16
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-2843
Practice Address - Country:US
Practice Address - Phone:909-235-3209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider