Provider Demographics
NPI:1952469959
Name:CHEUNG, JOY P (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:P
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17575 YUKON AVE
Mailing Address - Street 2:APT. D1
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-3448
Mailing Address - Country:US
Mailing Address - Phone:832-279-7008
Mailing Address - Fax:
Practice Address - Street 1:17575 YUKON AVE
Practice Address - Street 2:APT. D1
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-3448
Practice Address - Country:US
Practice Address - Phone:832-279-7008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18252363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical