Danmed | |
350 S 38th Ct Ste 100 Renton WA 98055-5777 | |
(714) 828-1800 | |
(714) 882-1186 |
Full Name | Danmed |
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Speciality | Psychiatry & Neurology |
Location | 350 S 38th Ct Ste 100, Renton, Washington |
Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
Authorized Official Contact | 7145687667 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Danmed 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Danmed 350 S 38th Ct Ste 100 Renton WA 98055-5777 Ph: (714) 828-1800 |
NPI Number | 1558600650 |
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Provider Enumeration Date | 02/08/2013 |
Last Update Date | 05/08/2023 |
Certification Date | 05/08/2023 |
Medicare PECOS PAC ID | 1153603667 |
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Medicare Enrollment ID | O20170118001041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558600650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | MD00048010 (Washington) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | AP30007637 (Washington) | Secondary |
Provider Name | Kalyan R Dandala |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336295864 PECOS PAC ID: 9739262932 Enrollment ID: I20080212000040 |
Provider Name | Laura Lavinia Cardwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417488347 PECOS PAC ID: 1850660499 Enrollment ID: I20170713000485 |
Provider Name | Arabelle Estrada |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376029157 PECOS PAC ID: 4284987769 Enrollment ID: I20181031000006 |
Provider Name | Candis Leshawn Halsted |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255005898 PECOS PAC ID: 5698163699 Enrollment ID: I20211025001472 |
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