Healthcare Provider Details

I. General information

NPI: 1740143387
Provider Name (Legal Business Name): JULIA ELIZABETH ALLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W LA VETA AVE
ORANGE CA
92868-4203
US

IV. Provider business mailing address

2105 CANYON CIR
COSTA MESA CA
92627-6819
US

V. Phone/Fax

Practice location:
  • Phone: 714-509-8690
  • Fax:
Mailing address:
  • Phone: 720-278-5477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number95037851
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: