Provider Demographics
NPI:1528773769
Name:LOZANO, MANUEL STEVE (BS COM DIS SLPA)
Entity type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:STEVE
Last Name:LOZANO
Suffix:
Gender:M
Credentials:BS COM DIS SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18031 MESCAL ST
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-4310
Mailing Address - Country:US
Mailing Address - Phone:562-360-8031
Mailing Address - Fax:
Practice Address - Street 1:14135 FRANCISQUITO AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-6107
Practice Address - Country:US
Practice Address - Phone:562-360-8031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38172355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant