Provider Demographics
NPI:1689684961
Name:DUNN, JOCELYN J (MD)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:J
Last Name:DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 PORTOLA RD STE B
Mailing Address - Street 2:
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-7852
Mailing Address - Country:US
Mailing Address - Phone:650-322-1737
Mailing Address - Fax:650-325-5778
Practice Address - Street 1:150 PORTOLA RD STE B
Practice Address - Street 2:
Practice Address - City:PORTOLA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94028-7852
Practice Address - Country:US
Practice Address - Phone:650-322-1737
Practice Address - Fax:650-325-5778
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG064087208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F31459Medicare UPIN
CA00G064087Medicare ID - Type Unspecified