Provider Demographics
NPI:1104865146
Name:KING, JOYCE RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:RUTH
Last Name:KING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4160 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-1906
Mailing Address - Country:US
Mailing Address - Phone:562-426-7432
Mailing Address - Fax:
Practice Address - Street 1:2801 ATLANTIC AVE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1701
Practice Address - Country:US
Practice Address - Phone:562-933-0722
Practice Address - Fax:562-933-0791
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG44212207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G442120Medicaid
CAA49585Medicare UPIN
CAWG44212BMedicare PIN
CA00G442120Medicaid