Provider Demographics
NPI:1881443919
Name:SALDANA, JULISSA GINA
Entity type:Individual
Prefix:
First Name:JULISSA
Middle Name:GINA
Last Name:SALDANA
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 1:9400 HUNT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-5122
Mailing Address - Country:US
Mailing Address - Phone:213-844-0137
Mailing Address - Fax:
Practice Address - Street 1:7700 IMPERIAL HWY STE A
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3466
Practice Address - Country:US
Practice Address - Phone:213-844-0137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician