Healthcare Provider Details

I. General information

NPI: 1568761914
Provider Name (Legal Business Name): JULIE JULIE-MY TRAN ND, LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HUONG JULIE-MY TRAN ND, LAC

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 SARATOGA AVE
SAN JOSE CA
95129-2332
US

IV. Provider business mailing address

875 SARATOGA AVE
SAN JOSE CA
95129-2332
US

V. Phone/Fax

Practice location:
  • Phone: 408-622-0626
  • Fax:
Mailing address:
  • Phone: 408-622-0626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-523
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14132
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: