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NPI Code Detail

MEDICARE: DR. JULIE ANN DOPHEIDE PHARM.D., BCPP

MEDICARE: DR. JULIE ANN DOPHEIDE PHARM.D., BCPP
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
11835P1300XPsychiatric Pharmacist41936CA

General Provider Information

NPI Number : 1508863812
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE ANN DOPHEIDE PHARM.D., BCPP
Provider Business Mailing Address
First Line : 4295 VIA ARBOLADA
Second Line : # 313
City : LOS ANGELES
State : CA
Zip : 90042-5104
Country : US
Telephone Number : 323-254-5359
Fax Number : 323-442-1681
Provider Business Practice Location Address
First Line : USC SCHOOL OF PHARMACY
Second Line : 1985 ZONAL AVENUE
City : LOS ANGELES
State : CA
Zip : 90089-0001
Country : US
Telephone Number : 323-442-1454
Fax Number : 323-442-1681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 07/08/2007

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