Provider Demographics
NPI:1477731677
Name:DU, JOANNA (MD)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:
Last Name:DU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:DU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1310 SAN BERNARDINO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-4985
Mailing Address - Country:US
Mailing Address - Phone:909-579-0806
Mailing Address - Fax:909-579-1331
Practice Address - Street 1:1310 SAN BERNARDINO RD STE 201
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4985
Practice Address - Country:US
Practice Address - Phone:909-579-0806
Practice Address - Fax:909-579-1331
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101756207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology