Provider Demographics
NPI:1053623710
Name:ECHEGARAY, JULIO E
Entity type:Individual
Prefix:MR
First Name:JULIO
Middle Name:E
Last Name:ECHEGARAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8870 HARGIS ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-2444
Mailing Address - Country:US
Mailing Address - Phone:424-226-8020
Mailing Address - Fax:
Practice Address - Street 1:1527 4TH ST FL 2
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2332
Practice Address - Country:US
Practice Address - Phone:310-394-9871
Practice Address - Fax:310-395-0863
Is Sole Proprietor?:No
Enumeration Date:2010-07-10
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program