Provider Demographics
NPI:1922197995
Name:JOSEPH, DENISE ELAINE (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:ELAINE
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2035 EAST BALL ROAD
Mailing Address - Street 2:STE 200
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806
Mailing Address - Country:US
Mailing Address - Phone:714-517-6300
Mailing Address - Fax:714-517-6306
Practice Address - Street 1:2035 E BALL RD
Practice Address - Street 2:200
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-5159
Practice Address - Country:US
Practice Address - Phone:714-517-6300
Practice Address - Fax:714-517-6306
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-06-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA512422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF46180Medicare UPIN