Provider Demographics
NPI:1346321544
Name:SABOTIN, JULIA ANNE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ANNE
Last Name:SABOTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13722 RED HILL AVE APT 64
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-4764
Mailing Address - Country:US
Mailing Address - Phone:714-730-6687
Mailing Address - Fax:
Practice Address - Street 1:12501 E. IMPERIAL HGHWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:92650
Practice Address - Country:US
Practice Address - Phone:562-807-6159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 201461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical