Provider Demographics
NPI:1134704216
Name:LOZANO CEJA, JULIA ALEJANDRA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ALEJANDRA
Last Name:LOZANO CEJA
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 1:2300 S SULTANA AVE SPC 271
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-5869
Mailing Address - Country:US
Mailing Address - Phone:909-789-4926
Mailing Address - Fax:
Practice Address - Street 1:2300 S SULTANA AVE SPC 271
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-5869
Practice Address - Country:US
Practice Address - Phone:909-789-4926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician