Doctor Name: | MS. JULIE LYNN VAN DEN HOUT |
NPI Number: | 1083987929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.C.P. |
License Number: | 809032 |
Business Practice Address: | 2060 Alma St San Carlos, CA - 940702910 |
Business Phone Number: | 6505922122 |
Business Fax Number: | |
Mailing Address: | 2060 Alma St, SAN CARLOS |
State: | CA |
Postal Code: | 940702910 |
Phone Number: | 6505922122 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 242T00000X |
License Number: | 809032 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Perfusionist |
Taxonomy Specialization: | |
Taxonomy Definition: | A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient |