Healthcare Provider Details

I. General information

NPI: 1871378851
Provider Name (Legal Business Name): MINH TRAN CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 MOORPARK AVE STE 109
SAN JOSE CA
95117-1842
US

IV. Provider business mailing address

4010 MOORPARK AVE STE 109
SAN JOSE CA
95117-1842
US

V. Phone/Fax

Practice location:
  • Phone: 559-824-2395
  • Fax: 669-500-7395
Mailing address:
  • Phone: 559-824-2395
  • Fax: 669-500-7395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MINH TRAN
Title or Position: CLINIC DIRECTOR
Credential: DC, DACNB
Phone: 559-824-2395