Provider Demographics
NPI:1104984673
Name:WOYTHALER, JULIUS N (MD)
Entity type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:N
Last Name:WOYTHALER
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:SUITE 414
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2804
Mailing Address - Country:US
Mailing Address - Phone:818-345-0443
Mailing Address - Fax:818-345-0467
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:SUITE 414
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2804
Practice Address - Country:US
Practice Address - Phone:818-345-0443
Practice Address - Fax:818-345-0467
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2010-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG50511207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51707Medicare UPIN
CAWG50511EMedicare PIN