Provider Demographics
NPI:1881710440
Name:SY, JOAN YVETTE (DO)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:YVETTE
Last Name:SY
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:5430 AVENIDA DEL TREN
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4900
Mailing Address - Country:US
Mailing Address - Phone:909-489-7386
Mailing Address - Fax:888-749-6344
Practice Address - Street 1:24953 PASEO DE VALENCIA
Practice Address - Street 2:SUITE 1A
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4342
Practice Address - Country:US
Practice Address - Phone:949-460-9200
Practice Address - Fax:949-470-9000
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2022-10-10
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Provider Licenses
StateLicense IDTaxonomies
CA20A6587207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA020A65810OtherBLUE CROSSBLUE SHIELD
CAG34940OtherTRICARE