Provider Demographics
NPI:1538257480
Name:MASON, JULIA ANN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANN
Last Name:MASON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 LAUREL ST., SUITE B
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070
Mailing Address - Country:US
Mailing Address - Phone:650-598-5414
Mailing Address - Fax:650-508-4566
Practice Address - Street 1:1100 LAUREL ST., SUITE B
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070
Practice Address - Country:US
Practice Address - Phone:650-598-5414
Practice Address - Fax:650-508-4566
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor