Provider Demographics
NPI:1457165151
Name:DEPHILIPPIS, JULIETTE MICHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:JULIETTE
Middle Name:MICHELLE
Last Name:DEPHILIPPIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 MORNING MIST CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-1358
Mailing Address - Country:US
Mailing Address - Phone:858-222-9404
Mailing Address - Fax:
Practice Address - Street 1:8391 MORNING MIST CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1358
Practice Address - Country:US
Practice Address - Phone:858-222-9404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program