Provider Demographics
NPI:1790053924
Name:STEINBAUM, JULIANNA ASHLOCK (RD)
Entity Type:Individual
Prefix:MRS
First Name:JULIANNA
Middle Name:ASHLOCK
Last Name:STEINBAUM
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MRS
Other - First Name:JULIANNA
Other - Middle Name:PALME
Other - Last Name:ASHLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:17640 RHODA ST
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1255
Mailing Address - Country:US
Mailing Address - Phone:805-451-0500
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:301-478-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1023615133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered