Julian, Robert S
Julian, Robert S is an individual health care provider with primary practice located at 290 N Wayte Ln , Fresno CA 93701-2124. He recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Julian, Robert S can be contacted via phone (559) 459-4101.Contact Information
Primary practice address
290 N Wayte Ln
Fresno CA 93701-2124
Phone: (559) 459-4101
Fax: (559) 459-5744
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 36161 | California |
Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 36161 | California |
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 36161 | California |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 63994 | California |
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | A063994 | California |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | A063994 | California |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | A063994 | California |
Profile Details
NPI number | 1427119791 |
---|---|
LBN Legal business name | Julian, Robert S |
Credentials | DDS, MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427119791 | NPPES |
California | Other | 1427119791 | MEDICARE - RENDERING/INDIVIDUAL PROV |
California | Other | 36161 | MEDICARE - RENDERING/INDIVIDUAL PROV |
California | MEDICAID | 63994 | MEDICARE - RENDERING/INDIVIDUAL PROV |
California | Other | 1043403207 | MEDICARE - RENDERING/INDIVIDUAL PROV |
California | Other | B36161 | MEDICARE - RENDERING/INDIVIDUAL PROV |
California | Other | A63994 | MEDICARE - RENDERING/INDIVIDUAL PROV |
California | Other | GA 1120 | MEDICARE - RENDERING/INDIVIDUAL PROV |
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