Individual
JULIAN TELLEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
931 BUENA VISTA ST, SUITE 205, DUARTE, CA 91010-1712
(626) 358-1897
(626) 301-0937
Mailing address
931 BUENA VISTA ST STE 205, SUITE 205, DUARTE, CA 91010-1713
(626) 358-1897
(626) 301-0937
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 19320
CA
Other
Enumeration date
03/06/2008
Last updated
12/21/2010
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