Provider Demographics
NPI:1689638199
Name:ASCHENBERG, JULIUS JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:JAY
Last Name:ASCHENBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18430 BROOKHURST ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6726
Mailing Address - Country:US
Mailing Address - Phone:714-963-7432
Mailing Address - Fax:714-963-0234
Practice Address - Street 1:18430 BROOKHURST ST
Practice Address - Street 2:SUITE 103
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6726
Practice Address - Country:US
Practice Address - Phone:714-963-7432
Practice Address - Fax:714-963-0234
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22275111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5755147TOtherAETNA
CAU44117Medicare UPIN
CADC22275Medicare ID - Type Unspecified