Healthcare Provider Details

I. General information

NPI: 1720401409
Provider Name (Legal Business Name): JOCELYN RAGAMAT DUONG REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOCELYN RAGAMAT CARIAGA

II. Dates (important events)

Enumeration Date: 01/30/2014
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HILLMONT AVE
VENTURA CA
93003-1651
US

IV. Provider business mailing address

2800 ALTUS WAY
OXNARD CA
93035-2507
US

V. Phone/Fax

Practice location:
  • Phone: 805-233-7750
  • Fax:
Mailing address:
  • Phone: 408-221-1864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number794739
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: