Provider Demographics
NPI:1952445983
Name:GIGLIO, JULIE J (MD)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:J
Last Name:GIGLIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 FASHION LN STE 203
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3331
Mailing Address - Country:US
Mailing Address - Phone:714-730-1433
Mailing Address - Fax:714-730-1433
Practice Address - Street 1:161 FASHION LN STE 203
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3331
Practice Address - Country:US
Practice Address - Phone:714-730-1433
Practice Address - Fax:714-730-1433
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0672972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry