Provider Demographics
NPI:1275355117
Name:LUZ, JOCELYN HAIDEE
Entity type:Individual
Prefix:
First Name:JOCELYN
Middle Name:HAIDEE
Last Name:LUZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 SKYPARK DR STE 410
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7519
Mailing Address - Country:US
Mailing Address - Phone:833-223-8326
Mailing Address - Fax:
Practice Address - Street 1:2780 SKYPARK DR STE 410
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-7519
Practice Address - Country:US
Practice Address - Phone:833-223-8326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician