MEDICARE: DANIELS CHIROPRACTIC, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC252290	CA

General Provider Information

NPI Number	:	1972730174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIELS CHIROPRACTIC, INC

Provider Business Mailing Address
First Line	:	1165 PARK AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2922
Country	:	US
Telephone Number	:	408-292-9765
Fax Number	:	408-479-3747

Provider Business Practice Location Address
First Line	:	1165 PARK AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95126-2922
Country	:	US
Telephone Number	:	408-292-9765
Fax Number	:	408-479-3747

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. PAMELA JEAN DANIELS
Credential	:	D.C.
Telephone Number	:	408-292-9765

Provider Enumeration Date	:	06/15/2009
Last Update Date	:	08/11/2025

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