Doctor Name: | JULIE MAI |
NPI Number: | 1538499975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 20A10272 |
Business Practice Address: | 107 N Acacia Ave Solana Beach, CA - 920751103 |
Business Phone Number: | 8582596000 |
Business Fax Number: | 8582596022 |
Mailing Address: | 107 N Acacia Ave, SOLANA BEACH |
State: | CA |
Postal Code: | 920751103 |
Phone Number: | 8582596000 |
Fax Number: | 8582596022 |
NPI Enumeration Date: | 01/07/2010 |
NPI Last Update Date: | 01/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A10272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |