Provider Demographics
NPI:1437821436
Name:NAVARRO, JULIUS SUMANG (RDN, CSR, CNSC)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:SUMANG
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:RDN, CSR, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 EL CAMINO REAL APT 2102
Mailing Address - Street 2:
Mailing Address - City:COLMA
Mailing Address - State:CA
Mailing Address - Zip Code:94014-3178
Mailing Address - Country:US
Mailing Address - Phone:843-304-0178
Mailing Address - Fax:
Practice Address - Street 1:1675 SCOTT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3013
Practice Address - Country:US
Practice Address - Phone:415-353-7725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-29
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL86006224133V00000X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered