Provider Demographics
NPI:1588227151
Name:ZAMBRANO GARCIA, JOCELYNE GUADALUPE
Entity Type:Individual
Prefix:
First Name:JOCELYNE
Middle Name:GUADALUPE
Last Name:ZAMBRANO GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17595 ALMAHURST ST
Mailing Address - Street 2:
Mailing Address - City:CITY OF INDUSTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91748-1779
Mailing Address - Country:US
Mailing Address - Phone:626-344-4434
Mailing Address - Fax:
Practice Address - Street 1:17595 ALMAHURST ST
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1779
Practice Address - Country:US
Practice Address - Phone:626-344-4434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-18
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician