Provider Demographics
NPI:1568761914
Name:TRAN, JULIE JULIE-MY (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:JULIE-MY
Last Name:TRAN
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:HUONG
Other - Middle Name:JULIE-MY
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND, LAC
Mailing Address - Street 1:5595 WINFIELD BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1220
Mailing Address - Country:US
Mailing Address - Phone:408-792-7229
Mailing Address - Fax:
Practice Address - Street 1:5595 WINFIELD BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1220
Practice Address - Country:US
Practice Address - Phone:408-792-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14132171100000X
CAND-523175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist