Provider Demographics
NPI:1518760719
Name:JOSEPH, EILEEN DANAN (DO)
Entity type:Individual
Prefix:MISS
First Name:EILEEN
Middle Name:DANAN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 W WINNIE WAY
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7959
Mailing Address - Country:US
Mailing Address - Phone:310-775-3793
Mailing Address - Fax:
Practice Address - Street 1:1924 ALCOA HWY # U-11
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-305-9230
Practice Address - Fax:865-305-6958
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program