Provider Demographics
NPI:1760573604
Name:SCHOETTLER, JOYCE JEONG-MI (MD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:JEONG-MI
Last Name:SCHOETTLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20911 EARL ST STE 301
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4354
Mailing Address - Country:US
Mailing Address - Phone:310-371-1388
Mailing Address - Fax:310-371-3439
Practice Address - Street 1:20911 EARL ST STE 301
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4354
Practice Address - Country:US
Practice Address - Phone:310-371-1388
Practice Address - Fax:310-371-3439
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG51339207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOG513390Medicaid
CAOOG513390Medicaid
CAWG51339EMedicare ID - Type Unspecified