Healthcare Provider Details

I. General information

NPI: 1962886358
Provider Name (Legal Business Name): JULIA DANSER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA KUZNETSOVA

II. Dates (important events)

Enumeration Date: 07/15/2015
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 SHARON PARK DR STE F3
MENLO PARK CA
94025-6848
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 888-663-6331
  • Fax: 415-252-7176
Mailing address:
  • Phone: 415-658-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberPGY.203044
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A16505
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: