Healthcare Provider Details

I. General information

NPI: 1528905197
Provider Name (Legal Business Name): DANIEL PHAM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3478 BUSKIRK AVE STE 100
PLEASANT HILL CA
94523-7311
US

IV. Provider business mailing address

3478 BUSKIRK AVE STE 100
PLEASANT HILL CA
94523-7311
US

V. Phone/Fax

Practice location:
  • Phone: 925-384-2500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT160306
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: