Provider Demographics
NPI:1699169813
Name:HEIN, JULIE DIANE WOODBURN
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:DIANE WOODBURN
Last Name:HEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:DIANE
Other - Last Name:WOODBURN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4949 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7851
Mailing Address - Country:US
Mailing Address - Phone:187-192-5558
Mailing Address - Fax:
Practice Address - Street 1:4949 MARKET ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7851
Practice Address - Country:US
Practice Address - Phone:888-719-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA145900207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology