Healthcare Provider Details

I. General information

NPI: 1316855877
Provider Name (Legal Business Name): DANIELA BIANCA ALARCON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10390 COMMERCE CENTER DR UNIT C
RANCHO CUCAMONGA CA
91730-5858
US

IV. Provider business mailing address

8252 CHERIMOYA AVE
FONTANA CA
92335-3205
US

V. Phone/Fax

Practice location:
  • Phone: 909-789-1212
  • Fax:
Mailing address:
  • Phone: 951-796-8281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310790
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: