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General NPI Number Information
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NPI Number | 1407044589
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Entity Type | Organization
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Legal Business Name | DR. JOAN SY MEDICAL CORPORATION
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Dates
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Enumeration Date | 10/14/2007
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 24953 PASEO DE VALENCIA STE 1A
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-4342
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Country | US
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Telephone | 949-460-9200
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Fax | 949-470-9000
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Provider Business Mailing Address
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Address Line | 5430 AVENIDA DEL TREN
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City | YORBA LINDA
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State | CA
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Zip | 92887-4900
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Country | US
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Telephone | 714-610-9209
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Fax | 888-749-6344
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Authorized Official
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Title or Position | PHYSICIAN AND SURGEON
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Name | DR. JOAN YVETTE SY
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Credential | D.O.
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Telephone | 909-489-7386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A6587
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License Number State | CA
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