Basic Information
Provider Information
NPI: 1710635883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOU
FirstName: JULIA
MiddleName:  
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Credential:  
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Mailing Information
Address1: 1233 ARGUELLO BLVD APT 3
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941222756
CountryCode: US
TelephoneNumber: 8054512431
FaxNumber:  
Practice Location
Address1: 110 SUTTER ST FL 6
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941044020
CountryCode: US
TelephoneNumber: 4152910480
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/16/2022
LastUpdateDate: 06/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
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AuthorizedOfficialCredential:  
NPICertificationDate: 06/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X95020210CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
363LF0000X95020210CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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