Provider Demographics
NPI:1295942837
Name:JULIAN MEDICAL
Entity type:Organization
Organization Name:JULIAN MEDICAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CAESAR
Authorized Official - Middle Name:O
Authorized Official - Last Name:JULIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-202-1964
Mailing Address - Street 1:39695 KEENAN DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-3608
Mailing Address - Country:US
Mailing Address - Phone:760-202-1964
Mailing Address - Fax:760-202-7840
Practice Address - Street 1:39695 KEENAN DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3608
Practice Address - Country:US
Practice Address - Phone:760-202-1964
Practice Address - Fax:760-202-7840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty