Provider Demographics
NPI:1306917851
Name:NASSER, JULIA GHADA (MD)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:GHADA
Last Name:NASSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GIULIA
Other - Middle Name:GHADA
Other - Last Name:NASSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:526 W 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3619
Mailing Address - Country:US
Mailing Address - Phone:714-926-8825
Mailing Address - Fax:
Practice Address - Street 1:526 W 17TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3619
Practice Address - Country:US
Practice Address - Phone:714-926-8825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC175689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine