Healthcare Provider Details

I. General information

NPI: 1629873450
Provider Name (Legal Business Name): DANIELA OROZCO OROZCO RENDON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE # A610
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

21402 PARK DOWNE LN
KATY TX
77450-4006
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7011
  • Fax:
Mailing address:
  • Phone: 832-724-8672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: