Healthcare Provider Details

I. General information

NPI: 1164337820
Provider Name (Legal Business Name): JULIA VICTORIA SCIESINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23961 CALLE DE LA MAGDALENA
LAGUNA HILLS CA
92653-3616
US

IV. Provider business mailing address

24051 IRONHEAD LN
LAGUNA NIGUEL CA
92677-1390
US

V. Phone/Fax

Practice location:
  • Phone: 949-627-3225
  • Fax:
Mailing address:
  • Phone: 949-627-3225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: