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NPI Code Detail

MEDICARE: DR. JULIE I DEE M.D.

MEDICARE: DR. JULIE I DEE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA114219CA
2207L00000XAnesthesiology PhysicianMD157727OR

General Provider Information

NPI Number : 1063633295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE I DEE M.D.
Provider Business Mailing Address
First Line : 210 N TUSTIN AVE
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3807
Country : US
Telephone Number : 714-347-1010
Fax Number : 714-647-1245
Provider Business Practice Location Address
First Line : 1020 WEBBER ST
Second Line :
City : THE DALLES
State : OR
Zip : 97058-3749
Country : US
Telephone Number : 541-769-0426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 12/27/2012

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