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NPI Code Detail

MEDICARE: DR. JOCELYN BENNETT CRAIG M.D.

MEDICARE: DR. JOCELYN BENNETT CRAIG M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianA80920CA
2207VG0400XGynecology PhysicianA80920CA
3207VF0040XUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianA80920CA

General Provider Information

NPI Number : 1104851443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOCELYN BENNETT CRAIG M.D.
Provider Business Mailing Address
First Line : 2888 LONG BEACH BLVD STE 325
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-7503
Country : US
Telephone Number : 562-426-4904
Fax Number :
Provider Business Practice Location Address
First Line : 2888 LONG BEACH BLVD STE 325
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-7503
Country : US
Telephone Number : 562-426-4904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 10/07/2022

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