Provider Demographics
NPI:1720401409
Name:DUONG, JOCELYN RAGAMAT (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:RAGAMAT
Last Name:DUONG
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:RAGAMAT
Other - Last Name:CARIAGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2800 ALTUS WAY
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-2507
Mailing Address - Country:US
Mailing Address - Phone:408-221-1864
Mailing Address - Fax:
Practice Address - Street 1:350 HILLMONT AVE
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-1651
Practice Address - Country:US
Practice Address - Phone:805-233-7750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA794739163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA794739OtherCALIFORNIA BOARD OF REGISTERED NURSING