Provider Demographics
NPI:1952897498
Name:TRAN, HUY (LAC)
Entity Type:Individual
Prefix:MR
First Name:HUY
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:MR
Other - First Name:HUY
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1978 TRADAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-3714
Mailing Address - Country:US
Mailing Address - Phone:408-990-5886
Mailing Address - Fax:
Practice Address - Street 1:1978 TRADAN DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-3714
Practice Address - Country:US
Practice Address - Phone:408-990-5886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18181171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty