Provider Demographics
NPI:1669361747
Name:HESSELGESSER, JULIANA AZZARA (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:AZZARA
Last Name:HESSELGESSER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5333 AVENIDA DE LOS PINOS
Mailing Address - Street 2:
Mailing Address - City:BONSALL
Mailing Address - State:CA
Mailing Address - Zip Code:92003-3731
Mailing Address - Country:US
Mailing Address - Phone:858-231-1607
Mailing Address - Fax:
Practice Address - Street 1:3150 EL CAMINO REAL STE G
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2100
Practice Address - Country:US
Practice Address - Phone:858-231-1607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-319189174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN