Healthcare Provider Details

I. General information

NPI: 1215914577
Provider Name (Legal Business Name): JOCELYN LOTHO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JOCELYN L SANCHEZ NP

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 09/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 SAN JULIAN ST # 2 LOS ANGELES SCHOOL DISTRICT
LOS ANGELES CA
90015-3142
US

IV. Provider business mailing address

1430 SAN JULIAN ST # 2
LOS ANGELES CA
90015-3142
US

V. Phone/Fax

Practice location:
  • Phone: 213-765-2821
  • Fax: 213-765-3861
Mailing address:
  • Phone: 213-765-2821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number545807
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: