Provider Demographics
NPI:1205962040
Name:ROTINO, JULIA ANNE (BS)
Entity type:Individual
Prefix:MS
First Name:JULIA
Middle Name:ANNE
Last Name:ROTINO
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19072 FLORIDA ST
Mailing Address - Street 2:#11
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2300
Mailing Address - Country:US
Mailing Address - Phone:949-939-4798
Mailing Address - Fax:
Practice Address - Street 1:10101 SLATER AVE
Practice Address - Street 2:SUITE 241
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4733
Practice Address - Country:US
Practice Address - Phone:714-378-2620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health