Individual
ERIC T LOVATO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
6109 W RAMSEY ST, BANNING, CA 92220-3051
(909) 845-0313
(909) 796-4158
Mailing address
PO BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311
(909) 796-4158
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OPA161240
—
CA
Enumeration date
06/02/2006
Last updated
10/14/2025
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