Individual
JOCELYN FLORDELIZ SUPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, CTA7D, LOS ANGELES, CA 90033-1029
(323) 226-5700
Mailing address
1200 N STATE ST, CTA7D, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
956000927
CA
Other
Enumeration date
08/15/2015
Last updated
02/05/2026
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