Provider Demographics
NPI:1336595099
Name:LEI, JOY LOO-I (MS)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:LOO-I
Last Name:LEI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 E BROADWAY STE 202
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-1503
Mailing Address - Country:US
Mailing Address - Phone:562-285-6776
Mailing Address - Fax:
Practice Address - Street 1:4105 E BROADWAY STE 202
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-1503
Practice Address - Country:US
Practice Address - Phone:562-285-6776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144555106H00000X
CA117183106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist