Provider Demographics
NPI:1134416613
Name:YUEN, JOEY KA-WING (PHARM D)
Entity type:Individual
Prefix:
First Name:JOEY
Middle Name:KA-WING
Last Name:YUEN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92782-2702
Mailing Address - Country:US
Mailing Address - Phone:714-361-2101
Mailing Address - Fax:714-361-2101
Practice Address - Street 1:2300 PARK AVE
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-2702
Practice Address - Country:US
Practice Address - Phone:714-361-2101
Practice Address - Fax:714-361-2101
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61529183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist