Provider Demographics
NPI:1174974075
Name:LOZANO CHIROPRACTIC
Entity type:Organization
Organization Name:LOZANO CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JONATHAN
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-829-2008
Mailing Address - Street 1:9500 BRIMHALL RD
Mailing Address - Street 2:SUITE 704
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2232
Mailing Address - Country:US
Mailing Address - Phone:661-829-2008
Mailing Address - Fax:
Practice Address - Street 1:9500 BRIMHALL RD
Practice Address - Street 2:SUITE 704
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2232
Practice Address - Country:US
Practice Address - Phone:661-829-2008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty