Provider Demographics
NPI:1497271829
Name:ERWIN, JOCELYN GREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:GREEN
Last Name:ERWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOCELYN
Other - Middle Name:ANNE
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3253 CAMINITO EASTBLUFF UNIT 26
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2894
Mailing Address - Country:US
Mailing Address - Phone:305-302-4239
Mailing Address - Fax:
Practice Address - Street 1:200 W ARBOR DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-9000
Practice Address - Country:US
Practice Address - Phone:305-302-4239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA166561208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery