IndividualActive
Alfonso Urdaneta-Moncada, MD
NPI 1477812873 · Diagnostic Radiology Physician · Lynnwood, WA
Provider details
- NPI number
- 1477812873
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 116005 (AK)
Practice location
19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1501
Mailing address
19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Registry dates
- Enumerated
- 2012-05-07
- Last updated
- 2025-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.