Healthcare Provider Details

I. General information

NPI: 1215142443
Provider Name (Legal Business Name): JULIE COLLINGS ROCHEFORT RN, NP-C, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 W. EL SEGUNDO BLVD SUITE B
HAWTHRONE CA
90275
US

IV. Provider business mailing address

411 HILLCREST ST
EL SEGUNDO CA
90245
US

V. Phone/Fax

Practice location:
  • Phone: 424-456-8933
  • Fax: 323-757-2068
Mailing address:
  • Phone: 310-213-0082
  • Fax: 323-757-2068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number16669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: