Individual
TABITA LOZANO COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1274 N ROSE DR, SUITE 122, PLACENTIA, CA 92870
(714) 961-0808
(714) 961-0115
Mailing address
13121 SANDHURST PL, SANTA ANA, CA 92705-2136
(714) 913-3845
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
16147
CA
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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