| Doctor Name: | DR. JULIE ELANA KALTGRAD |
| NPI Number: | 1235444068 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | A118201 |
| Business Practice Address: | 6340 Irvine Blvd Irvine, CA - 926202102 |
| Business Phone Number: | 9495596500 |
| Business Fax Number: | 9495596510 |
| Mailing Address: | 6340 Irvine Blvd, IRVINE |
| State: | CA |
| Postal Code: | 926202102 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2010 |
| NPI Last Update Date: | 10/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A118201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |