Provider Demographics
NPI:1114516515
Name:HELENE JULIUS DDS, MPH, A PROFESSIONAL DENTAL CORP
Entity type:Organization
Organization Name:HELENE JULIUS DDS, MPH, A PROFESSIONAL DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HELENE
Authorized Official - Middle Name:
Authorized Official - Last Name:JULIUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MPH, RD
Authorized Official - Phone:310-435-1074
Mailing Address - Street 1:833 N EDINBURGH AVE STE PH1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-6930
Mailing Address - Country:US
Mailing Address - Phone:310-435-1074
Mailing Address - Fax:310-362-8179
Practice Address - Street 1:239 S LA CIENEGA BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3356
Practice Address - Country:US
Practice Address - Phone:310-362-8179
Practice Address - Fax:310-900-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-12
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No251V00000XAgenciesVoluntary or Charitable
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
No292200000XLaboratoriesDental Laboratory