Healthcare Provider Details
I. General information
NPI: 1841456514
Provider Name (Legal Business Name): JULIA COATS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/01/2008
Last Update Date: 11/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
450 SUTTER ST RM 934
SAN FRANCISCO CA
94108-3997
US
IV. Provider business mailing address
450 SUTTER ST RM 934
SAN FRANCISCO CA
94108-3997
US
V. Phone/Fax
- Phone: 415-362-2901
- Fax: 415-362-2429
- Phone: 415-362-2901
- Fax: 415-362-2429
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AU3086 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | AU3086 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: