Provider Demographics
NPI:1801552716
Name:JULIET JANE TOMPKINS SWOPE INC
Entity type:Organization
Organization Name:JULIET JANE TOMPKINS SWOPE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SWOPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-650-3138
Mailing Address - Street 1:2017 LOMITA BLVD # 164
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-1701
Mailing Address - Country:US
Mailing Address - Phone:310-650-3138
Mailing Address - Fax:
Practice Address - Street 1:22617 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2510
Practice Address - Country:US
Practice Address - Phone:310-650-3138
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty