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NPI Code Detail

MEDICARE: JULIA PRINCIPE

MEDICARE: JULIA PRINCIPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner95012871CA

General Provider Information

NPI Number : 1285277533
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA PRINCIPE
Provider Business Mailing Address
First Line : 1685 E MAIN ST STE 301
Second Line :
City : EL CAJON
State : CA
Zip : 92021-5292
Country : US
Telephone Number : 888-743-7526
Fax Number : 760-398-5701
Provider Business Practice Location Address
First Line : 1685 E MAIN ST STE 301
Second Line :
City : EL CAJON
State : CA
Zip : 92021-5292
Country : US
Telephone Number : 888-743-7526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2019
Last Update Date : 04/13/2021

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Directions to “ JULIA PRINCIPE ” Practice Location

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