Provider Demographics
NPI:1427697317
Name:FANG, JULIANA
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:FANG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:YINGYING
Other - Middle Name:
Other - Last Name:CHIEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1611 ELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1033
Mailing Address - Country:US
Mailing Address - Phone:510-673-7789
Mailing Address - Fax:
Practice Address - Street 1:542 LAKESIDE DR STE 5
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4005
Practice Address - Country:US
Practice Address - Phone:510-673-7789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-26
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist