Individual
JUAN DIEGO LOZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 374-8191
(310) 303-6834
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
A144652
CA
2085N0700X
Neuroradiology Physician
ME112580
FL
2085N0700X
Neuroradiology Physician
Primary
U3583
TX
2085N0904X
Nuclear Radiology Physician
ME112580
FL
2085R0202X
Diagnostic Radiology Physician
A144652
CA
2085R0202X
Diagnostic Radiology Physician
ME112580
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024978900
—
FL
01
—
M6074
MEDICARE HF
FL
Enumeration date
05/20/2008
Last updated
08/09/2023
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