Organization
JUDY A. LOSCO, D.O.; INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A. LOSCO D.O. (CORPORATION OWNER)
(714) 685-7785
Entity
Organization
Contact information
Practice address
500 S ANAHEIM HILLS RD STE 102, ANAHEIM, CA 92807-4761
(714) 685-7785
(714) 685-6857
Mailing address
PO BOX 8783, BREA, CA 92822-5783
(714) 685-7785
(714) 685-6857
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A7090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX70900
—
CA
Enumeration date
03/03/2010
Last updated
03/03/2010
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