Healthcare Provider Details

I. General information

NPI: 1184549990
Provider Name (Legal Business Name): BRIANA GLORIA VALLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5325 BRODER BLVD
DUBLIN CA
94568-3309
US

IV. Provider business mailing address

11263 MICHAEL HUNT DR
SOUTH EL MONTE CA
91733-4045
US

V. Phone/Fax

Practice location:
  • Phone: 626-478-4629
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT164937
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: