Provider Demographics
NPI:1154603033
Name:SMITH, DANIEL AINSWORTH (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:AINSWORTH
Last Name:SMITH
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 1:30630 RANCHO CALIFORNIA RD
Mailing Address - Street 2:SUITE F501
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3283
Mailing Address - Country:US
Mailing Address - Phone:951-694-6350
Mailing Address - Fax:
Practice Address - Street 1:30630 RANCHO CALIFORNIA RD
Practice Address - Street 2:SUITE F501
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3283
Practice Address - Country:US
Practice Address - Phone:951-694-6350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor