Healthcare Provider Details

I. General information

NPI: 1154070753
Provider Name (Legal Business Name): JULIO CESAR NUNES SILVA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 VILLA LA JOLLA DR STE C101
LA JOLLA CA
92037-1727
US

IV. Provider business mailing address

8950 VILLA LA JOLLA DR STE C101
LA JOLLA CA
92037-1727
US

V. Phone/Fax

Practice location:
  • Phone: 858-249-1017
  • Fax:
Mailing address:
  • Phone: 858-249-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number78847
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number207257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: