Provider Demographics
NPI:1184882342
Name:OYANGUREN, JULIE (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:OYANGUREN
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 155
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91003-0155
Mailing Address - Country:US
Mailing Address - Phone:626-798-3236
Mailing Address - Fax:
Practice Address - Street 1:5400 BALBOA BLVD STE 302
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-5219
Practice Address - Country:US
Practice Address - Phone:818-793-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-23
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 7006174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist