Provider Demographics
NPI:1285826966
Name:LINN, JULIANNA LOUISE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:JULIANNA
Middle Name:LOUISE
Last Name:LINN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 SUPERIOR AVENUE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663
Mailing Address - Country:US
Mailing Address - Phone:949-760-9316
Mailing Address - Fax:949-760-5438
Practice Address - Street 1:500 SUPERIOR AVENUE
Practice Address - Street 2:SUITE 310
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663
Practice Address - Country:US
Practice Address - Phone:949-760-9316
Practice Address - Fax:949-760-5438
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19266363A00000X
CA19266363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant