MEDICARE: JOCELYN WON, M.D., INC.

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
1	207Q00000X	Family Medicine Physician	A68370	CA

General Provider Information

NPI Number	:	1780795682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOCELYN WON, M.D., INC.

Provider Business Mailing Address
First Line	:	355 PLACENTIA AVE STE 307
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3303
Country	:	US
Telephone Number	:	949-631-3180
Fax Number	:	949-631-3082

Provider Business Practice Location Address
First Line	:	355 PLACENTIA AVE STE 307
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3303
Country	:	US
Telephone Number	:	949-631-3180
Fax Number	:	949-631-3082

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOCELYN WON
Credential	:	MD
Telephone Number	:	949-631-3180

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	08/22/2020

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