Provider Demographics
NPI:1235230889
Name:WARREN, DANIEL SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SCOTT
Last Name:WARREN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10956 WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3853
Mailing Address - Country:US
Mailing Address - Phone:714-963-0955
Mailing Address - Fax:714-963-5775
Practice Address - Street 1:10956 WARNER AVE
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3853
Practice Address - Country:US
Practice Address - Phone:714-963-0955
Practice Address - Fax:714-963-5775
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2019-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU52397Medicare UPIN
CAWDC22944BMedicare PIN