Provider Demographics
NPI:1275195158
Name:TJOA, SHU EN ANTHEA (MA)
Entity Type:Individual
Prefix:MS
First Name:SHU EN
Middle Name:ANTHEA
Last Name:TJOA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ANTHEA
Other - Middle Name:
Other - Last Name:TJOA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:1911 WILLIAMS DRIVE, SUITE 200
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036
Mailing Address - Country:US
Mailing Address - Phone:805-981-4221
Mailing Address - Fax:
Practice Address - Street 1:1227 E LOS ANGELES AVE
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065
Practice Address - Country:US
Practice Address - Phone:805-981-4221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program