OrganizationCristian Lopez Lozoya(<Unavail>)DentistDental ProvidersPractice AddressPaseo De Los Heroes, 9210-B, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Cristian Lopez Lozoya does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053072991Provider TypeOrganizationFull NameCristian Lopez LozoyaOther Name<Unavail>SubpartNoEnumeration Date1/3/2022Last Updated1/4/2022Contact InformationPractice LocationPractice AddressPaseo De Los Heroes, 9210-B, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021FaxUnlisted FaxMailing LocationMailing Address4630 Border Village Rd Ste N1030, San Ysidro, CA 92173-3121Phone(619) 272-9021FaxUnlisted FaxAuthorized OfficialNameLopez Lozoya, Cristian Omar (Dentist)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted Issuer