Healthcare Provider Details

I. General information

NPI: 1083523674
Provider Name (Legal Business Name): THERESA FO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRACY FO

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 MANGO AVE
SUNNYVALE CA
94087-1728
US

IV. Provider business mailing address

2785 S BASCOM AVE APT 62
CAMPBELL CA
95008-6265
US

V. Phone/Fax

Practice location:
  • Phone: 408-522-8288
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: