Healthcare Provider Details

I. General information

NPI: 1093670770
Provider Name (Legal Business Name): VICTORIA DEL BINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 OLYMPIC BLVD STE 125
WALNUT CREEK CA
94596-5000
US

IV. Provider business mailing address

1870 OLYMPIC BLVD STE 125
WALNUT CREEK CA
94596-5000
US

V. Phone/Fax

Practice location:
  • Phone: 925-830-7900
  • Fax:
Mailing address:
  • Phone: 925-830-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number158766
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: