Provider Demographics
NPI:1629887674
Name:GHALI, JOY (CHIA)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:GHALI
Suffix:
Gender:F
Credentials:CHIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10373
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92423-0373
Mailing Address - Country:US
Mailing Address - Phone:781-824-6824
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 10373
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92423-0373
Practice Address - Country:US
Practice Address - Phone:781-824-6824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA024545171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter