Provider Demographics
NPI:1467290353
Name:ONSTAD, JULIANNA (MT)
Entity type:Individual
Prefix:
First Name:JULIANNA
Middle Name:
Last Name:ONSTAD
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 CHESAPEAKE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1097
Mailing Address - Country:US
Mailing Address - Phone:619-277-2451
Mailing Address - Fax:
Practice Address - Street 1:9150 CHESAPEAKE DR STE 120
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1097
Practice Address - Country:US
Practice Address - Phone:619-277-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1120332225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist