Healthcare Provider Details

I. General information

NPI: 1467197806
Provider Name (Legal Business Name): DANIEL ROSSI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2022
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 E KATELLA AVE STE 211
ORANGE CA
92867-5050
US

IV. Provider business mailing address

1224 E KATELLA AVE STE 211
ORANGE CA
92867-5050
US

V. Phone/Fax

Practice location:
  • Phone: 310-597-3578
  • Fax:
Mailing address:
  • Phone: 310-597-3578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number36166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: