Healthcare Provider Details

I. General information

NPI: 1245539980
Provider Name (Legal Business Name): JOCELYN JOBIN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2011
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 3RD ST STE 400
SAN FRANCISCO CA
94124-1409
US

IV. Provider business mailing address

46 SAN FELIPE AVE
SOUTH SAN FRANCISCO CA
94080-2238
US

V. Phone/Fax

Practice location:
  • Phone: 415-970-3890
  • Fax: 415-970-3813
Mailing address:
  • Phone: 415-424-1090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: