Healthcare Provider Details

I. General information

NPI: 1932592342
Provider Name (Legal Business Name): VIVIANA BUNTING LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIVIANA ANDRADE

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29970 TECHNOLOGY DR STE 208E
MURRIETA CA
92563-2649
US

IV. Provider business mailing address

29970 TECHNOLOGY DR STE 208E
MURRIETA CA
92563-2649
US

V. Phone/Fax

Practice location:
  • Phone: 760-702-1096
  • Fax:
Mailing address:
  • Phone: 951-821-6312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT99648
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF81979
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: