Provider Demographics
NPI:1073131249
Name:LOZON, TARYN MCCALL (MS)
Entity Type:Individual
Prefix:MISS
First Name:TARYN
Middle Name:MCCALL
Last Name:LOZON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4122 WINTERHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-1632
Mailing Address - Country:US
Mailing Address - Phone:949-429-9657
Mailing Address - Fax:
Practice Address - Street 1:4122 WINTERHAVEN ST
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-1632
Practice Address - Country:US
Practice Address - Phone:714-381-6982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19161225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist