Provider Demographics
NPI:1881937258
Name:GOBERT, JOCELYN KIYOMI (DC)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:KIYOMI
Last Name:GOBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:KIYOMI
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:22362 SAVONA
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1853
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 62
Practice Address - Street 2:
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-0062
Practice Address - Country:US
Practice Address - Phone:714-717-5607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC32578111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor