Doctor Name: | JULIAN RESTREPO |
NPI Number: | 1902240344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A136382 |
Business Practice Address: | 9939 Magnolia Ave Riverside, CA - 925033528 |
Business Phone Number: | 9516878802 |
Business Fax Number: | 9516872250 |
Mailing Address: | 9939 Magnolia Ave, RIVERSIDE |
State: | CA |
Postal Code: | 925033528 |
Phone Number: | 9513543216 |
Fax Number: | 9518489968 |
NPI Enumeration Date: | 04/27/2013 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A136382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |