Provider Demographics
NPI:1639210297
Name:CIANO, JULIA H (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:H
Last Name:CIANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:451 PARKFAIR DR
Mailing Address - Street 2:STE 4
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-7249
Mailing Address - Country:US
Mailing Address - Phone:916-484-6882
Mailing Address - Fax:
Practice Address - Street 1:451 PARKFAIR DR
Practice Address - Street 2:SUITE #4
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-7249
Practice Address - Country:US
Practice Address - Phone:916-484-6882
Practice Address - Fax:916-484-7078
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14393111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA680103400Medicare UPIN