Organization
JOCELYN BENNETT CRAIG, MD, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FUENTES (CREDENTIALING)
(714) 505-7540
Entity
Organization
Contact information
Practice address
1501 SUPERIOR AVE, SUITE 201, NEWPORT BEACH, CA 92663-3600
(949) 836-9689
(949) 764-9399
Mailing address
PO BOX 2235, NEWPORT BEACH, CA 92659-1235
(949) 836-9689
(949) 764-9399
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A80920
CA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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