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NPI Code Detail

MEDICARE: DR. JULIE KAY KASARJIAN M.D., PH.D.

MEDICARE: DR. JULIE KAY KASARJIAN M.D., PH.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
1207P00000XEmergency Medicine PhysicianA98419CA

General Provider Information

NPI Number : 1225236516
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE KAY KASARJIAN M.D., PH.D.
Provider Business Mailing Address
First Line : 901 SUNSET HILLS LN
Second Line :
City : REDLANDS
State : CA
Zip : 92373-6964
Country : US
Telephone Number : 310-987-6776
Fax Number :
Provider Business Practice Location Address
First Line : 5870 ARLINGTON AVE
Second Line :
City : RIVERSIDE
State : CA
Zip : 92504-2037
Country : US
Telephone Number : 951-683-6596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 05/29/2024

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