Healthcare Provider Details

I. General information

NPI: 1124480884
Provider Name (Legal Business Name): DANIELA ZURITA MD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8856 ARLINGTON AVE
RIVERSIDE CA
92503-1365
US

IV. Provider business mailing address

26520 CACTUS AVE
MORENO VALLEY CA
92555-3927
US

V. Phone/Fax

Practice location:
  • Phone: 951-710-3970
  • Fax:
Mailing address:
  • Phone: 951-486-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA159054
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: