Provider Demographics
NPI:1598935736
Name:LOZANO CAMHI, MICHELLE IRENE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:IRENE
Last Name:LOZANO CAMHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:LOZANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2801 MEADOW LARK DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2709
Mailing Address - Country:US
Mailing Address - Phone:858-694-4752
Mailing Address - Fax:858-514-8425
Practice Address - Street 1:2801 MEADOW LARK DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2709
Practice Address - Country:US
Practice Address - Phone:858-694-4752
Practice Address - Fax:858-514-8425
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1095622084P0804X, 2084P0804X
NY2527622084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry