Provider Demographics
NPI:1275253858
Name:LOZANO, GABRIELA G (LMFT)
Entity Type:Individual
Prefix:MS
First Name:GABRIELA
Middle Name:G
Last Name:LOZANO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:GABRIELA
Other - Middle Name:G
Other - Last Name:LEYVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17252 HAWTHORNE BLVD # 429
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1032
Mailing Address - Country:US
Mailing Address - Phone:562-533-2441
Mailing Address - Fax:
Practice Address - Street 1:4758 LOMINA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-2331
Practice Address - Country:US
Practice Address - Phone:562-533-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113515106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty