Healthcare Provider Details

I. General information

NPI: 1093436610
Provider Name (Legal Business Name): JULIA ALEXANDRA PERLOV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

2440 M ST NW STE 200
WASHINGTON DC
20037-1449
US

V. Phone/Fax

Practice location:
  • Phone: 510-420-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberNP95034240
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP1060517
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95034240
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: