Healthcare Provider Details

I. General information

NPI: 1356875751
Provider Name (Legal Business Name): JULIE LYNN KOLLAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE LYNN WHITIS MD

II. Dates (important events)

Enumeration Date: 04/12/2017
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CAMINO DEL REMEDIO
SANTA BARBARA CA
93110-1332
US

IV. Provider business mailing address

3037 CALLE ROSALES
SANTA BARBARA CA
93105-2805
US

V. Phone/Fax

Practice location:
  • Phone: 202-997-4948
  • Fax:
Mailing address:
  • Phone: 202-997-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA201777
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: