Provider Demographics
NPI:1962296376
Name:YUAN, JULIA CLAIRE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CLAIRE
Last Name:YUAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SILHOUETTE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-4257
Mailing Address - Country:US
Mailing Address - Phone:949-701-5569
Mailing Address - Fax:
Practice Address - Street 1:18 SILHOUETTE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92603-4257
Practice Address - Country:US
Practice Address - Phone:949-701-5569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program