Healthcare Provider Details

I. General information

NPI: 1225236516
Provider Name (Legal Business Name): JULIE KAY KASARJIAN M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE KAY ARMANTROUT

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5870 ARLINGTON AVE
RIVERSIDE CA
92504-2037
US

IV. Provider business mailing address

901 SUNSET HILLS LN
REDLANDS CA
92373-6964
US

V. Phone/Fax

Practice location:
  • Phone: 951-683-6596
  • Fax:
Mailing address:
  • Phone: 310-987-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA98419
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: