Provider Demographics
NPI:1184811648
Name:GR LOZANO SERVICES INC.
Entity type:Organization
Organization Name:GR LOZANO SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-271-6605
Mailing Address - Street 1:693 VISTA SAN RAFAEL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-5503
Mailing Address - Country:US
Mailing Address - Phone:619-271-6605
Mailing Address - Fax:619-271-9151
Practice Address - Street 1:693 VISTA SAN RAFAEL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-5503
Practice Address - Country:US
Practice Address - Phone:619-271-6605
Practice Address - Fax:619-271-9151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTN01265FOtherMEDICAL PROVIDER