Julie Stark, DO, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2OA6747 Issued in CA

Legal business name

JULIE STARK, DO, INC.

Practice address

2125 E Thousand Oaks Blvd
Suite a
Thousand Oaks, CA 91362-2942

Phone

(805) 374-1420

Fax

(805) 374-1423

NPI assigned

Feb 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Julie Rachel Stark, D.O.

Title

Owner

Phone

(818) 706-9700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932243367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5731 RIDGEBROOK DR",
            "city": "AGOURA",
            "state": "CA",
            "postal_code": "913014619",
            "telephone_number": "818-706-9700",
            "fax_number": "805-374-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 E THOUSAND OAKS BLVD",
            "address_2": "SUITE A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622942",
            "telephone_number": "805-374-1420",
            "fax_number": "805-374-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE STARK, DO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-706-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA6747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.