Julie Derose

NPI 1427225150 · on the registry since 2008 · sole proprietor

Practice

Address: 204 Hampton Dr
Venice, CA 90291
Phone: (310) 396-6468
Fax: (310) 392-8402
Organisation at this address: St. Joseph Center
St. Joseph Center
St. Joseph Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 213

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California