Provider Demographics
NPI:1164672275
Name:HALE, JULIA L (PA)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:L
Last Name:HALE
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Gender:F
Credentials:PA
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Mailing Address - Street 1:4650 W SUNSET BLVD
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF LOS ANGELES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6062
Mailing Address - Country:US
Mailing Address - Phone:323-361-2142
Mailing Address - Fax:323-361-1310
Practice Address - Street 1:4650 W SUNSET BLVD
Practice Address - Street 2:CHILDREN'S HOSPITAL OF LOS ANGELES
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6062
Practice Address - Country:US
Practice Address - Phone:323-361-2142
Practice Address - Fax:323-361-1310
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2014-07-21
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Provider Licenses
StateLicense IDTaxonomies
CA22913363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical