Provider Demographics
NPI:1972266062
Name:LOBOS, JOCABEHD (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOCABEHD
Middle Name:
Last Name:LOBOS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 MAYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-5521
Mailing Address - Country:US
Mailing Address - Phone:626-518-2994
Mailing Address - Fax:
Practice Address - Street 1:3505 MAYLAND AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-5521
Practice Address - Country:US
Practice Address - Phone:626-518-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist