Provider Demographics
NPI:1386963346
Name:SAGER, DANIELLE DIANE (DC)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:DIANE
Last Name:SAGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:DIANE
Other - Last Name:SAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:333 WASHINGTON BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5136
Mailing Address - Country:US
Mailing Address - Phone:310-455-6088
Mailing Address - Fax:310-707-4309
Practice Address - Street 1:333 WASHINGTON BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5136
Practice Address - Country:US
Practice Address - Phone:310-658-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-28
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25391111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor