Provider Demographics
NPI:1225236516
Name:KASARJIAN, JULIE KAY (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KAY
Last Name:KASARJIAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:KAY
Other - Last Name:ARMANTROUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 SUNSET HILLS LN
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6964
Mailing Address - Country:US
Mailing Address - Phone:310-987-6776
Mailing Address - Fax:
Practice Address - Street 1:1100 N D ST
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-3524
Practice Address - Country:US
Practice Address - Phone:909-381-3774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98419207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine