Healthcare Provider Details

I. General information

NPI: 1336027721
Provider Name (Legal Business Name): BRETT TUNG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 FOLSOM ST STE 702
SAN FRANCISCO CA
94107-4502
US

IV. Provider business mailing address

324 TREEDUST ST
REDWOOD CITY CA
94065-8464
US

V. Phone/Fax

Practice location:
  • Phone: 415-715-1050
  • Fax:
Mailing address:
  • Phone: 650-919-3308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: