Healthcare Provider Details

I. General information

NPI: 1164641643
Provider Name (Legal Business Name): JESSICA TRAN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25431 CABOT RD STE 207
LAGUNA HILLS CA
92653-5527
US

IV. Provider business mailing address

25431 CABOT RD STE 207
LAGUNA HILLS CA
92653-5527
US

V. Phone/Fax

Practice location:
  • Phone: 949-551-8751
  • Fax: 949-551-1272
Mailing address:
  • Phone: 949-551-8751
  • Fax: 949-551-1272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number05-900
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-396
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: