Provider Demographics
NPI:1073571006
Name:BRUSH, JULIE (ND)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:BRUSH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 DE CELIS PL
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-5710
Mailing Address - Country:US
Mailing Address - Phone:503-449-1615
Mailing Address - Fax:
Practice Address - Street 1:5363 BALBOA BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2802
Practice Address - Country:US
Practice Address - Phone:818-479-4400
Practice Address - Fax:503-515-8099
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1458175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath