Provider Demographics
NPI:1285821025
Name:LUO, JOYCE J (ACUPUNCTURIST)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:J
Last Name:LUO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5195 CHERWELL WAY
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-8002
Mailing Address - Country:US
Mailing Address - Phone:714-827-8776
Mailing Address - Fax:
Practice Address - Street 1:1513 S GRAND AVE STE 208
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3021
Practice Address - Country:US
Practice Address - Phone:213-765-8088
Practice Address - Fax:213-765-8188
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3879171100000X
CA655184163W00000X
CA20453363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse