Provider Demographics
NPI:1144246596
Name:JULIAN, VENUS NAVARRO (MD)
Entity Type:Individual
Prefix:DR
First Name:VENUS
Middle Name:NAVARRO
Last Name:JULIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20011 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2573
Mailing Address - Country:US
Mailing Address - Phone:818-708-6163
Mailing Address - Fax:818-340-5537
Practice Address - Street 1:20011 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2573
Practice Address - Country:US
Practice Address - Phone:818-708-6163
Practice Address - Fax:818-340-5537
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41783207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A417830Medicaid
CA00A417830Medicaid
CAA41783AMedicare ID - Type UnspecifiedMEDICARE