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Daniela Seleh

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281

PECOS Enrollment

Based on the most recent information from CMS, provider Daniela Seleh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1952067977
Provider Type
Individual
Full Name
Seleh, Daniela
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/14/2021
Last Updated
5/29/2025

Contact Information

Practice Location

3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281

(916) 740-3721

Unlisted Fax

Mailing Location

3400 Douglas Blvd Ste 170, Roseville, CA 95661-4281

(310) 666-6173

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA65459 California
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 25MP00802700 New Jersey

Daniela Seleh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kaur, Manpreet

Shiue, Erin Elizabeth

Reyes, Florita

Nelson, Gary Duane

Hamm, Gary K

Katches, Talitha

Carson, Cindy C

Moradi, Shaian

Byrd, Asha Pavani

Lowe, William Jame