Individual ProviderJocelyn ElizondoDentistDental ProvidersPractice AddressBlvd Gral Sanchez Taboada 9250, Zona Rio Local 26, Tijuana, Baja California 22010 (Mexico)(664) 977-6267(619) 210-4712PECOS EnrollmentBased on the most recent information from CMS, provider Jocelyn Elizondo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1326631607Provider TypeIndividualFull NameElizondo, JocelynCredentialDDSGenderFemaleSole ProprietorYesEnumeration Date2/17/2021Last Updated2/17/2021Contact InformationPractice LocationPractice AddressBlvd Gral Sanchez Taboada 9250, Zona Rio Local 26, Tijuana, Baja California 22010 (Mexico)Phone(664) 977-6267FaxUnlisted FaxMailing LocationMailing Address641 E San Ysidro Blvd Ste B3507, San Ysidro, CA 92173-3129Phone(619) 210-4712FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense9459125