Daniel Carrasco
Specialist/Technologist, Athletic Trainer in Spring Valley, CA. Individual provider (NPI-1).
NPI number1104773175
StatusActive
Last updated in NPPESMar 11, 2026
Details
- NPI
- 1104773175
- Entity type
- Individual (NPI-1)
- Name
- Daniel Carrasco
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 11, 2026
- Certification date
- Mar 11, 2026
- Last updated
- Mar 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | CA | Yes |
Practice location
8863 Jaylee AveSpring Valley, CA 91977-5540
Phone 619-513-5801
Mailing address
8863 Jaylee AveSpring Valley, CA 91977-5540
Phone 619-513-5801
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