Provider Demographics
NPI:1245690353
Name:OSBON, DANIELLE (DC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:OSBON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24655 MONROE AVE STE 102A
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-9587
Mailing Address - Country:US
Mailing Address - Phone:951-249-3369
Mailing Address - Fax:
Practice Address - Street 1:24655 MONROE AVE STE 102A
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-9587
Practice Address - Country:US
Practice Address - Phone:951-249-3369
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33501111N00000X
CADC33501111NP0017X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor