Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A55266 | CA |
NPI | 1033296629 |
---|---|
Provider Name | Dr. Dilpreet Pami Julka |
First Address | Los Angeles, CA 90033-2424 |
Second Address | Los Angeles, CA 90033-2424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A552660 | (05) | CA |
00A552661 | BLUE SHIELD # (01) | CA |
A55266 | MEDICAL LICENSE # (01) | CA |
BJ4898461 | DEA# (01) | CA |
H14215 | (02) | CA |