IndividualActive
Julie Fan, DTR
NPI 1629792379 · Registered Dietetic Technician · San Francisco, CA
Provider details
- NPI number
- 1629792379
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR
- Sex
- Female
- Sole proprietor
- No
- License
- 86146743 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
4150 Clement St
San Francisco, CA 94121-1563
Phone: (415) 221-4810
Approximate (ZIP-level) locationGet directions
Mailing address
4150 Clement St
San Francisco, CA 94121-1563
Registry dates
- Enumerated
- 2022-09-27
- Last updated
- 2024-10-22
- Certified
- 2024-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.