Healthcare Provider Details

I. General information

NPI: 1639184013
Provider Name (Legal Business Name): JULIO N. OZORES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVESITY HEALTH SERVICES 2222 BANCROFT WAY
BERKELEY CA
94720-0001
US

IV. Provider business mailing address

UNIVERSITY HEALTH SERVICES 2222 BANCROFT WAY
BERKELEY CA
94720-0001
US

V. Phone/Fax

Practice location:
  • Phone: 510-642-9494
  • Fax: 510-642-9494
Mailing address:
  • Phone: 510-642-9494
  • Fax: 510-642-9494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberG57539
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: