Cecilia Loleng

Organization Active NPI General Practice Physician · Seaside, CA

NPI 1942484597 · NPPES record last updated Dec 18, 2007

Key facts

NPI
1942484597
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
A35946 (CA)
Legal business name
CECILIA LOLENG
Practice address
1780 Fremont Blvd
H
Seaside, CA 93955-3629
Phone
(831) 394-0615
Fax
(831) 394-4580
NPI assigned
Dec 18, 2007
Organization subpart
No

Authorized official

Name
Cecilia Loleng
Title
Owner
Phone
(831) 394-0615

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1780 Fremont Blvd
Ste H
Seaside, CA 93955
Phone (831) 394-0615

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X A35946 CA Yes

Addresses

Primary practice location

1780 Fremont Blvd
H
Seaside, CA 93955-3629

Mailing address

1780 Fremont Blvd
H
Seaside, CA 93955-3629
Phone (831) 394-0615

Other providers in Seaside, CA

All providers in Seaside, CA · General Practice Physician in California

Sources for this page

Verify at the official NPI Registry.