Provider Demographics
NPI:1932518735
Name:ORELLANA JAIME, JOCELYN ABIGAIL
Entity Type:Individual
Prefix:MS
First Name:JOCELYN
Middle Name:ABIGAIL
Last Name:ORELLANA JAIME
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 1:1883 RUMRILL BLVD APT A25
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-4387
Mailing Address - Country:US
Mailing Address - Phone:415-323-9207
Mailing Address - Fax:
Practice Address - Street 1:1883 RUMRILL BLVD APT A25
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-4387
Practice Address - Country:US
Practice Address - Phone:415-261-2948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator