Healthcare Provider Details

I. General information

NPI: 1225928401
Provider Name (Legal Business Name): DANIEL ALEJANDRO RENDON ALDANA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 164TH AVE NE
BELLEVUE WA
98008-3518
US

IV. Provider business mailing address

14506 NE 6TH PL APT 4
BELLEVUE WA
98007-4732
US

V. Phone/Fax

Practice location:
  • Phone: 425-747-4937
  • Fax:
Mailing address:
  • Phone: 425-229-8353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: