Provider Demographics
NPI:1114228939
Name:MA, JOANNA CHIPING (PHARMD)
Entity type:Individual
Prefix:MS
First Name:JOANNA
Middle Name:CHIPING
Last Name:MA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 DECLARATION PL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-0708
Mailing Address - Country:US
Mailing Address - Phone:714-669-1910
Mailing Address - Fax:
Practice Address - Street 1:71 DECLARATION PL
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-0708
Practice Address - Country:US
Practice Address - Phone:714-669-1910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist