Individual
JULIE ANN THERESE DE LOS SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(310) 691-0194
Mailing address
1849 SAWTELLE BLVD STE 610, LOS ANGELES, CA 90025-7013
(530) 691-0194
(310) 943-2321
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95248205
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95032208
CA
Other
Enumeration date
11/26/2024
Last updated
05/14/2026
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