Provider Demographics
NPI:1164797635
Name:JOSEPH, VERONICA ANGKIANGCO (DOM)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:ANGKIANGCO
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:885 LEPPERT CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92114-3037
Mailing Address - Country:US
Mailing Address - Phone:442-888-0086
Mailing Address - Fax:888-958-0711
Practice Address - Street 1:2535 CAMINO DEL RIO S STE 230
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3795
Practice Address - Country:US
Practice Address - Phone:442-888-0086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-17
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1074171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist