Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Fan, AMFT

Individual provider Marriage & Family Therapist · NPI 1639026669

Susan Fan, AMFT is a Marriage & Family Therapist in Los Altos, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4984 El Camino Real Ste 208
Los Altos, CA 94022-1433
Phone: (650) 297-3400
Fax: (650) 897-1005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 124759 (CA)

Record details

NPI number1639026669
Entity typeIndividual (Type 1)
GenderFemale
Credentials AMFT
Sole proprietorYes
NPI enumeratedMarch 10, 2026
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

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