Doctor Name: | MS. JOANA DURAN |
NPI Number: | 1164773602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSWI |
License Number: | |
Business Practice Address: | 9101 Whittier Blvd Pico Rivera, CA - 906602405 |
Business Phone Number: | 5618014626 |
Business Fax Number: | 5618014630 |
Mailing Address: | 1000 Corporate Center Dr Ste 650, MONTEREY PARK |
State: | CA |
Postal Code: | 917547639 |
Phone Number: | 3235264016 |
Fax Number: | 3235264791 |
NPI Enumeration Date: | 09/24/2012 |
NPI Last Update Date: | 09/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |