Provider Demographics
NPI:1790591626
Name:JULIAN, ARIEL M
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:M
Last Name:JULIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2934 E GARVEY AVE S STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-2180
Mailing Address - Country:US
Mailing Address - Phone:626-375-4334
Mailing Address - Fax:
Practice Address - Street 1:2934 E GARVEY AVE S STE 100
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-2180
Practice Address - Country:US
Practice Address - Phone:626-375-4334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist