Healthcare Provider Details

I. General information

NPI: 1467961755
Provider Name (Legal Business Name): DANIELA POPA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10820 CALLE BELLA
RIVERSIDE CA
92503
US

IV. Provider business mailing address

10820 CALLE BELLA
RIVERSIDE CA
92503-5267
US

V. Phone/Fax

Practice location:
  • Phone: 951-772-0209
  • Fax:
Mailing address:
  • Phone: 951-772-0209
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: