MEDICARE: DR. JOCELYN PAIGE WERNER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A76891	CA

General Provider Information

NPI Number	:	1295779940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOCELYN PAIGE WERNER M.D.

Provider Business Mailing Address
First Line	:	6700 PINEHAVEN RD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-1014
Country	:	US
Telephone Number	:	510-339-3115
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 NORRIS CANYON RD
Second Line	:	SAN RAMON REGIONAL MEDICAL CENTER
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5400
Country	:	US
Telephone Number	:	925-275-8848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

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