Individual
ALEJANDRO LUJANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCO
Contact information
Practice address
1835 CHICAGO AVE STE A, RIVERSIDE, CA 92507-2309
(909) 477-3117
(909) 303-9244
Mailing address
15271 COLUMBIA LN, HUNTINGTON BEACH, CA 92647-2528
(949) 510-4176
(951) 394-7411
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
C51121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51121
BOC
CA
Enumeration date
07/01/2021
Last updated
07/01/2021
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