Healthcare Provider Details

I. General information

NPI: 1548596893
Provider Name (Legal Business Name): MAURICE DAOUD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2009
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73140 HIGHWAY 111 STE 8
PALM DESERT CA
92260-3927
US

IV. Provider business mailing address

73140 HIGHWAY 111 STE 8
PALM DESERT CA
92260-3927
US

V. Phone/Fax

Practice location:
  • Phone: 760-834-8725
  • Fax:
Mailing address:
  • Phone: 760-834-8725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number33093
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: