Healthcare Provider Details

I. General information

NPI: 1013649227
Provider Name (Legal Business Name): ALEJANDRA ANDRADE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 WHIPPLE RD
UNION CITY CA
94587-1507
US

IV. Provider business mailing address

1400 VETERANS BLVD
REDWOOD CITY CA
94063-2612
US

V. Phone/Fax

Practice location:
  • Phone: 650-834-1393
  • Fax:
Mailing address:
  • Phone: 650-299-4755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT155285
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number133999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: