Organization
GR LOZANO SERVICES INC.
Active
Other names
southbay medical transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT LOZANO (OWNER)
(619) 271-6605
Entity
Organization
Contact information
Practice address
693 VISTA SAN RAFAEL, SAN DIEGO, CA 92154-5503
(619) 271-6605
(619) 271-9151
Mailing address
693 VISTA SAN RAFAEL, SAN DIEGO, CA 92154-5503
(619) 271-6605
(619) 271-9151
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MTN01265F
MEDICAL PROVIDER
CA
Enumeration date
09/28/2007
Last updated
09/28/2007
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