Individual
JULIE JANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3116
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3116
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 4441950
MEDI-CAL
CA
Enumeration date
10/12/2006
Last updated
01/29/2013
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