Healthcare Provider Details

I. General information

NPI: 1770469884
Provider Name (Legal Business Name): ALONDRA APOLLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 N CAPITOL AVE
SAN JOSE CA
95133-1316
US

IV. Provider business mailing address

285 BLOSSOM HILL RD
SAN JOSE CA
95123-2099
US

V. Phone/Fax

Practice location:
  • Phone: 408-347-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA079783EE9
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: