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NPI Code Detail

MEDICARE: JULIANNE ELIZABETH SCHLICHTING-BADER PA-C, PHARMD

MEDICARE: JULIANNE ELIZABETH SCHLICHTING-BADER PA-C, PHARMD
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
1363A00000XPhysician Assistant65292CA
21835P0200XPediatric Pharmacist123897MN

General Provider Information

NPI Number : 1780211219
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNE ELIZABETH SCHLICHTING-BADER PA-C, PHARMD
Provider Business Mailing Address
First Line : 4900 AIRPORT PLAZA DR STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-1375
Country : US
Telephone Number : 562-490-9900
Fax Number : 562-452-7078
Provider Business Practice Location Address
First Line : 2067 W VISTA WAY STE 250
Second Line :
City : VISTA
State : CA
Zip : 92083-6034
Country : US
Telephone Number : 562-490-9900
Fax Number : 562-452-7078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 12/23/2025

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