Provider Demographics
NPI:1164265880
Name:FEMATT, JULIA HANNAH REBECCA (MD)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:HANNAH REBECCA
Last Name:FEMATT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 YOSEMITE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-5218
Mailing Address - Country:US
Mailing Address - Phone:925-698-4691
Mailing Address - Fax:
Practice Address - Street 1:278 YOSEMITE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5218
Practice Address - Country:US
Practice Address - Phone:925-698-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF1899020106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician