Provider Demographics
NPI:1376222729
Name:DEL CID, DANIELA BEATRIZ
Entity Type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:BEATRIZ
Last Name:DEL CID
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:DANIELA
Other - Middle Name:BEATRIZ
Other - Last Name:DEL CID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9464 S HOBART BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3824
Mailing Address - Country:US
Mailing Address - Phone:323-253-0699
Mailing Address - Fax:
Practice Address - Street 1:9464 S HOBART BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3824
Practice Address - Country:US
Practice Address - Phone:323-253-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4573224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant