Provider Demographics
NPI:1831783570
Name:ROSARIO, JULIUS VALENZUELA
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:VALENZUELA
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38722 11TH ST E APT 2
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-2862
Mailing Address - Country:US
Mailing Address - Phone:661-486-6071
Mailing Address - Fax:
Practice Address - Street 1:38722 11TH ST E APT 2
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2862
Practice Address - Country:US
Practice Address - Phone:661-486-6071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-23
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA299889225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist