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General NPI Number Information
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NPI Number | 1336409820
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Entity Type | Individual
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Provider Name | JOCELYN ANN MIZUNAKA MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 313 W SHAW AVE
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City | CLOVIS
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State | CA
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Zip | 93612-3685
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Country | US
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Telephone | 559-712-7500
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Fax | 559-875-0575
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Provider Business Mailing Address
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Address Line | 3875 W BEECHWOOD AVE
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City | FRESNO
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State | CA
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Zip | 93711-0795
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Country | US
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Telephone | 559-875-0557
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Fax | 559-875-0575
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A137124
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License Number State | CA
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