Provider Demographics
NPI:1265726715
Name:KRANKL, JULIA TATUM (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:TATUM
Last Name:KRANKL
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:760 WESTWOOD PLZ # C8-193
Mailing Address - Street 2:UCLA PSYCHIATRY RES ED OFFICE
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-8353
Mailing Address - Country:US
Mailing Address - Phone:310-206-2412
Mailing Address - Fax:310-825-0340
Practice Address - Street 1:760 WESTWOOD PLZ # C8-193
Practice Address - Street 2:UCLA PSYCHIATRY RES ED OFFICE
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-8353
Practice Address - Country:US
Practice Address - Phone:310-206-2412
Practice Address - Fax:310-825-0340
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2021-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA1229282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program