Healthcare Provider Details

I. General information

NPI: 1285821025
Provider Name (Legal Business Name): JOYCE J LUO ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 11/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 S GRAND AVE STE 208
LOS ANGELES CA
90015-3021
US

IV. Provider business mailing address

5195 CHERWELL WAY
CYPRESS CA
90630-8002
US

V. Phone/Fax

Practice location:
  • Phone: 213-765-8088
  • Fax: 213-765-8188
Mailing address:
  • Phone: 714-827-8776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number20453
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number655184
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: