Healthcare Provider Details

I. General information

NPI: 1467025809
Provider Name (Legal Business Name): LORA L DANIEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 11/05/2026
Certification Date: 11/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32605 TEMECULA PKWY STE 211
TEMECULA CA
92592-6839
US

IV. Provider business mailing address

32605 TEMECULA PKWY STE 211
TEMECULA CA
92592-6839
US

V. Phone/Fax

Practice location:
  • Phone: 951-303-0006
  • Fax: 951-303-0007
Mailing address:
  • Phone: 951-303-0006
  • Fax: 951-303-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number119679
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: