Provider Demographics
NPI:1811302789
Name:MA, JOYCE H (MD-PHD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:H
Last Name:MA
Suffix:
Gender:F
Credentials:MD-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 TWIN VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-2010
Mailing Address - Country:US
Mailing Address - Phone:650-810-6208
Mailing Address - Fax:530-605-3703
Practice Address - Street 1:630 TWIN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-2010
Practice Address - Country:US
Practice Address - Phone:650-810-6208
Practice Address - Fax:530-605-3703
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA167379208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice