Healthcare Provider Details

I. General information

NPI: 1528919628
Provider Name (Legal Business Name): JULIAN CAMPBELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1371 SANTA FE DR
SAN JOSE CA
95118-2439
US

IV. Provider business mailing address

1114 JAMESTOWN DR
SUNNYVALE CA
94087-1625
US

V. Phone/Fax

Practice location:
  • Phone: 650-799-8999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: