Healthcare Provider Details

I. General information

NPI: 1285671024
Provider Name (Legal Business Name): JULIA G KURLAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31515 RANCHO PUEBLO RD STE 201
TEMECULA CA
92592-4837
US

IV. Provider business mailing address

31515 RANCHO PUEBLO RD STE 201
TEMECULA CA
92592-4837
US

V. Phone/Fax

Practice location:
  • Phone: 760-230-2878
  • Fax:
Mailing address:
  • Phone: 760-230-2878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC51819
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: