Provider Demographics
NPI:1205855285
Name:VALDEZ, JULIA WARREN (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:WARREN
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16031 TUSCOLA RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1319
Mailing Address - Country:US
Mailing Address - Phone:760-946-2020
Mailing Address - Fax:760-242-3170
Practice Address - Street 1:16031 TUSCOLA RD
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1319
Practice Address - Country:US
Practice Address - Phone:760-946-2020
Practice Address - Fax:760-242-3170
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA53489207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG58749Medicare UPIN