Provider Demographics
NPI:1033009592
Name:IZON, JANICE
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:IZON
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 1:10847 BLAKE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2023
Mailing Address - Country:US
Mailing Address - Phone:619-947-0819
Mailing Address - Fax:
Practice Address - Street 1:675 E BRADLEY AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-3110
Practice Address - Country:US
Practice Address - Phone:619-448-6633
Practice Address - Fax:619-448-5462
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95172068163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty