Healthcare Provider Details

I. General information

NPI: 1427795301
Provider Name (Legal Business Name): JULIA RAE GARWOOD PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIA RAE BECK PA-C

II. Dates (important events)

Enumeration Date: 05/12/2022
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SCRIPPS DR STE 202
SACRAMENTO CA
95825-6206
US

IV. Provider business mailing address

PO BOX 95
FORESTHILL CA
95631-0095
US

V. Phone/Fax

Practice location:
  • Phone: 916-412-6323
  • Fax:
Mailing address:
  • Phone: 916-927-1114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: