Healthcare Provider Details

I. General information

NPI: 1184873838
Provider Name (Legal Business Name): JULIA HILARIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELOISE HILARIO

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 BROOKHOLLOW DR STE 111
SANTA ANA CA
92705-5418
US

IV. Provider business mailing address

1504 BROOKHOLLOW DR STE 111
SANTA ANA CA
92705-5418
US

V. Phone/Fax

Practice location:
  • Phone: 714-957-1004
  • Fax:
Mailing address:
  • Phone: 714-957-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: