Healthcare Provider Details

I. General information

NPI: 1538298039
Provider Name (Legal Business Name): JULIE ANN DALMAU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 06/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 BAUCHET ST. LOS ANGELES COUNTY SHERIFF DEPARTMENT MSB/PSA RM., E873
LOS ANGELES CA
90012
US

IV. Provider business mailing address

5226 1/2 BRIGGS AVENUE JULIE DALMAU
LA CRESCENTA CA
91214
US

V. Phone/Fax

Practice location:
  • Phone: 213-843-5455
  • Fax: 213-633-4663
Mailing address:
  • Phone: 818-249-0716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number388230
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: