Provider Demographics
NPI:1346611159
Name:ANATA, JULIUS CESAR
Entity Type:Individual
Prefix:
First Name:JULIUS CESAR
Middle Name:
Last Name:ANATA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 TAMPA ST APT 136
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-1022
Mailing Address - Country:US
Mailing Address - Phone:209-277-2122
Mailing Address - Fax:
Practice Address - Street 1:300 TAMPA ST APT 136
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-1022
Practice Address - Country:US
Practice Address - Phone:209-277-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002921225100000X
OR60167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist