Provider Demographics
NPI:1992739049
Name:PAZ, LORNA T (MD)
Entity type:Individual
Prefix:DR
First Name:LORNA
Middle Name:T
Last Name:PAZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P.O. 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:2400 BALFOUR RD
Practice Address - Street 2:SUITE 229
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-4945
Practice Address - Country:US
Practice Address - Phone:925-308-8113
Practice Address - Fax:925-308-8701
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2014-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA54823208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A548230Medicaid
CA00A548230Medicaid
CACA110966Medicare PIN
CAG20109Medicare UPIN