Healthcare Provider Details

I. General information

NPI: 1750902540
Provider Name (Legal Business Name): JOCELYN YOUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2020
Last Update Date: 08/14/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MERCY CIRCLE EMERGENCY DEPARTMENT
OCEANSIDE CA
92055
US

IV. Provider business mailing address

NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR
SAN DIEGO CA
92134-5000
US

V. Phone/Fax

Practice location:
  • Phone: 317-294-5998
  • Fax:
Mailing address:
  • Phone: 317-294-5998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01086180A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: