Individual
MIA DI JULIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 970W, SANTA MONICA, CA 90404-2199
(310) 829-7878
(310) 453-5586
Mailing address
2001 SANTA MONICA BLVD STE 970W, SANTA MONICA, CA 90404-2199
(310) 829-7878
(310) 453-5586
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A138383
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/24/2014
Last updated
11/21/2022
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