Individual
DANIEL BRISENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10281 KIDD ST, RIVERSIDE, CA 92503-3469
(951) 534-4617
Mailing address
1020 IOWA AVE STE B92507, RIVERSIDE, CA 92507-9401
(951) 358-4449
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
07/28/2025
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