Julie Auxenia Ballesteros Agojo, R.N.
Individual provider Active NPI Registered Nurse · Walnut, CA
NPI 1275833170 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1275833170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 288352 (CA)
- Practice address
- 19200 Lydle Creek PL
Walnut, CA 91789-4302 - Phone
- (213) 738-3787
- Fax
- (213) 351-2491
- NPI assigned
- Oct 25, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 288352 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 288352 | CA | Yes |
Addresses
Primary practice location
19200 Lydle Creek PL
Walnut, CA 91789-4302
Mailing address
19200 Lydle Creek PL
Walnut, CA 91789-4302
Phone (213) 738-3787
Other providers in Walnut, CA
- Able Hands Inc.
- Access Home Health Care, Inc,.
- Accurate Clinical Laboratory Corp.
- Advanced Home Medical Inc
- Advanced Mso
- Arshjot S Ahuja
- Aig Rehab Team Inc
- Alberto & Brittany Analysis ABA
- Mary Anne Grace Lantican Alcasid
- Alejandro Dental Group Corporation
All providers in Walnut, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.