Individual
MR. GUSTAVO ADOLFO LOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
800 N MAIN ST, SANTA ANA, CA 92701-3576
(657) 282-6355
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19788
CA
Other
Enumeration date
03/20/2009
Last updated
03/07/2023
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