Healthcare Provider Details

I. General information

NPI: 1851608012
Provider Name (Legal Business Name): BHAVANDEEP ATWAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34383 ALVARADO NILES RD # 236
UNION CITY CA
94587-4455
US

IV. Provider business mailing address

34383 ALVARADO NILES RD # 236
UNION CITY CA
94587-4455
US

V. Phone/Fax

Practice location:
  • Phone: 408-357-4466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49831
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFTI# 59458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: