Healthcare Provider Details

I. General information

NPI: 1477467256
Provider Name (Legal Business Name): JULIEN FERNAND DUMONT CST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 ORCHARD LN
SACRAMENTO CA
95821-3746
US

IV. Provider business mailing address

3800 ORCHARD LN
SACRAMENTO CA
95821-3746
US

V. Phone/Fax

Practice location:
  • Phone: 818-292-7505
  • Fax:
Mailing address:
  • Phone: 818-292-7505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number100267676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: