Provider Demographics
NPI:1508863812
Name:DOPHEIDE, JULIE ANN (PHARMD, BCPP)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:DOPHEIDE
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4295 VIA ARBOLADA
Mailing Address - Street 2:# 313
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-5104
Mailing Address - Country:US
Mailing Address - Phone:323-254-5359
Mailing Address - Fax:323-442-1681
Practice Address - Street 1:USC SCHOOL OF PHARMACY
Practice Address - Street 2:1985 ZONAL AVENUE
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0001
Practice Address - Country:US
Practice Address - Phone:323-442-1454
Practice Address - Fax:323-442-1681
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419361835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric