MEDICARE: DR. DANIELLE ELIZABETH DIAZ DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	34537	CA

General Provider Information

NPI Number	:	1215583398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIELLE ELIZABETH DIAZ DC

Provider Business Mailing Address
First Line	:	PO BOX 4558
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95604-4558
Country	:	US
Telephone Number	:	530-488-0188
Fax Number	:

Provider Business Practice Location Address
First Line	:	3720 GRASS VALLEY HWY
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-2002
Country	:	US
Telephone Number	:	530-488-0188
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2019
Last Update Date	:	03/27/2023

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