Provider Demographics
NPI:1134632433
Name:LOZINGOT, REBECCA (RPH)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:LOZINGOT
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19409 SOLEDAD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-2632
Mailing Address - Country:US
Mailing Address - Phone:661-250-3800
Mailing Address - Fax:661-250-3806
Practice Address - Street 1:19409 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-2632
Practice Address - Country:US
Practice Address - Phone:661-250-3800
Practice Address - Fax:661-250-3806
Is Sole Proprietor?:No
Enumeration Date:2017-11-08
Last Update Date:2017-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77675183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist