Dattoma, Lucia Loredana

Dattoma, Lucia Loredana is an individual health care provider with primary practice located at 2655 1St St Ste 360 , Simi Valley CA 93065-1581. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Dattoma, Lucia Loredana can be contacted via phone (805) 583-7640.

Contact Information

Primary practice address
2655 1St St Ste 360 Simi Valley CA 93065-1581
Phone: (805) 583-7640
Fax: (805) 583-7641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A87809 California

Profile Details

NPI number 1164628384
LBN Legal business name Dattoma, Lucia Loredana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164628384 NPPES
California MEDICAID 00A878090

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