Individual
DR. JULIE R ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1235 OSOS ST, SUITE 100, SAN LUIS OBISPO, CA 93401-3600
(805) 549-0888
(805) 549-8463
Mailing address
1235 OSOS ST, SUITE 100, SAN LUIS OBISPO, CA 93401-3600
(805) 549-0888
(805) 549-8463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A86458
CA
2080A0000X
Pediatric Adolescent Medicine Physician
A0653334
CA
Other
Enumeration date
05/03/2006
Last updated
03/07/2023
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