Individual ProviderDanielle LuzPediatricsAllopathic & Osteopathic PhysiciansPractice Address453 Quarry Rd, Palo Alto, CA 94304-1419(650) 721-5804PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Luz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265054191Provider TypeIndividualFull NameLuz, DanielleTitleDr.CredentialMDGenderFemaleSole ProprietorYesEnumeration Date5/13/2020Last Updated7/14/2023Contact InformationPractice LocationPractice Address453 Quarry Rd, Palo Alto, CA 94304-1419Phone(650) 721-5804FaxUnlisted FaxMailing LocationMailing Address453 Quarry Rd, Palo Alto, CA 94304-1419Phone(650) 721-5804FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense1265054191IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense125076301Illinois