Provider Demographics
NPI:1093028912
Name:SONODA, JOYCE KENMOTSU (LAC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:KENMOTSU
Last Name:SONODA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 WARDMAN DR
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2034
Mailing Address - Country:US
Mailing Address - Phone:323-863-5149
Mailing Address - Fax:
Practice Address - Street 1:1407 WARDMAN DR
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-2034
Practice Address - Country:US
Practice Address - Phone:323-863-5149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2011-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13222171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist