MEDICARE: DR. JULIO CESAR ARMENTA 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
1	103TC0700X	Clinical Psychologist	PSY 13633	CA
2	103TF0200X	Forensic Psychologist	PSY 13633	CA

General Provider Information

NPI Number	:	1629199716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIO CESAR ARMENTA PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 143
Second Line	:
City	:	BONITA
State	:	CA
Zip	:	91908-0143
Country	:	US
Telephone Number	:	619-470-3388
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 MEADOW LARK DR
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2711
Country	:	US
Telephone Number	:	619-694-4555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/11/2025

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