Healthcare Provider Details

I. General information

NPI: 1366066003
Provider Name (Legal Business Name): ANTONIA FELECIA-CHIARA LETO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2020
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 SAN ANTONIO RD STE 100
MOUNTAIN VIEW CA
94040-5309
US

IV. Provider business mailing address

298 SAN ANTONIO RD STE 100
MOUNTAIN VIEW CA
94040-5309
US

V. Phone/Fax

Practice location:
  • Phone: 650-446-4900
  • Fax:
Mailing address:
  • Phone: 650-446-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number156846
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: