MEDICARE: DR. JULIANA AUSTIN MD

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	208000000X	Pediatrics Physician	A85298	CA
2	2080P0205X	Pediatric Endocrinology Physician	A85298	CA

General Provider Information

NPI Number	:	1689672909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANA AUSTIN MD

Provider Business Mailing Address
First Line	:	2650 ELM AVE STE 210
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 ELM AVE STE 201
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1600
Country	:	US
Telephone Number	:	562-595-0166
Fax Number	:

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	01/09/2014

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