Doctor Name: | LUCIDA JOCSON |
NPI Number: | 1295133007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 336412449 |
Business Practice Address: | 29238 Glencoe Ln Menifee, CA - 925847664 |
Business Phone Number: | 9512463699 |
Business Fax Number: | 9515994127 |
Mailing Address: | 32736 Juniper Berry Dr, WINCHESTER |
State: | CA |
Postal Code: | 925968659 |
Phone Number: | 9512651749 |
Fax Number: | 9515994127 |
NPI Enumeration Date: | 12/10/2014 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 336412449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |