Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juliana Provencio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154176584

Juliana Provencio is a Student in an Organized Health Care Education/Training Program in LA Jolla, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

10666 N Torrey Pines Rd
LA Jolla, CA 92037-1027
Phone: (858) 554-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154176584
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 12, 2024

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