Provider Demographics
NPI:1609477504
Name:STIEFEL, JULIA CLAIRE
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CLAIRE
Last Name:STIEFEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:CLAIRE STIEFEL
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:369 ORANGE ST APT A
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2979
Mailing Address - Country:US
Mailing Address - Phone:415-302-0900
Mailing Address - Fax:
Practice Address - Street 1:369 ORANGE ST APT A
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2979
Practice Address - Country:US
Practice Address - Phone:415-302-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant