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DR. JULIE MARIE PAN M.D.
NPI 1407070485
Psychiatry & Neurology - Psychosomatic Medicine in Los Angeles, CA

Active since April 12, 2007Opted out of Medicare · through Nov 30, 2026
JOHN WOODEN CTR W, BOX 951556, LOS ANGELES, CA 90095(310) 825-0768 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Julie Marie Pan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JULIE MARIE PAN M.D. (NPI 1407070485) is an individual psychosomatic medicine provider in Los Angeles, California, licensed in California (A86950) and active in the NPI registry since April 2007. She has opted out of Medicare through November 30, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407070485
Entity TypeIndividualFemale
Primary Taxonomy2084P0015X
Provider Legal NameDR. JULIE MARIE PANCredential: M.D.
Location AddressJOHN WOODEN CTR W, BOX 951556Los Angeles, CA 90095-1556
Mailing AddressJohn Wooden Ctr W, Box 951556Los Angeles, CA 90095-1556 · (310) 825-0768
Phone(310) 825-0768
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407070485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Psychosomatic MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P0015X
License✔ Licensed in CA · A86950
Definition
Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings.
JOHN WOODEN CTR W, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Julie Marie Pan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 30, 2018 through November 30, 2026.

Opt-Out Effective DateNovember 30, 2018
Opt-Out In Effect ThroughNovember 30, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHANIE VAN STRALEN PSY.D.
Psychologist
JOHN WOODEN CTR W, 221 WESTWOOD PLAZA BOX 951556
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0768
UCLA CAPS
Community/Behavioral Health
JOHN WOODEN CTR W, 221 WESTWOOD PLAZA
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0768
DR. ROBERT ELDRIDGE CORB JR. PH.D.
Psychologist (Exercise & Sports)
JOHN WOODEN CTR W, BOX 951556
LOS ANGELES, CA 90095
Los Angeles County (313) 825-0768
DR. ALEKSANDRA O. KALINICH PSY.D.
Psychologist (Clinical)
JOHN WOODEN CTR W, 221 WESTWOOD PLAZA
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0768
DR. KATHLEEN HOFFMAN LAMBIRD PH.D.
Counselor (Mental Health)
JOHN WOODEN CTR W, BOX 951556
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0768
ANAT BARLEV PH.D.
Psychologist (Clinical)
JOHN WOODEN CTR W, 221 WESTWOOD PLAZA BOX 951556
LOS ANGELES, CA 90095
Los Angeles County (310) 206-0406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Pan's NPI number?

The NPI number for Julie Pan is 1407070485. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Julie Pan located?

Julie Pan practices at John Wooden Ctr W Box 951556, Los Angeles, CA 90095. The listed phone number is (310) 825-0768.

What is Julie Pan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychosomatic Medicine, with taxonomy code 2084P0015X.

Is Julie Pan enrolled in Medicare?

No. Julie Pan has opted out of Medicare through November 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Julie Pan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.