Individual
ANGELIE VANESSA LOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-5929
(310) 376-6262
Mailing address
1010 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-5929
(310) 376-6262
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95013992
CA
Other
Enumeration date
02/27/2020
Last updated
04/26/2021
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