Healthcare Provider Details

I. General information

NPI: 1023823002
Provider Name (Legal Business Name): JULIA CATES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10780 SANTA MONICA BLVD STE 105
LOS ANGELES CA
90025-7613
US

IV. Provider business mailing address

10780 SANTA MONICA BLVD STE 105
LOS ANGELES CA
90025-7613
US

V. Phone/Fax

Practice location:
  • Phone: 424-521-1066
  • Fax: 424-326-8553
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95041356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: