Individual
JOCELYN POGUE KON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
UCLA DEPARTMENT OF LIVER TRANSPLANT SURGERY, 757 WESTWOOD PLAZA 8501, LOS ANGELES, CA 90095-0001
(310) 825-8138
(310) 794-3344
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-8138
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688796
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
20171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902862170
MEDI CAL
CA
01
—
RN688796
MEDI CAL
CA
Enumeration date
09/03/2010
Last updated
04/24/2015
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