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NPI Code Detail

MEDICARE: DAP HEALTH, INC.

MEDICARE: DAP HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianCA
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1275849283
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAP HEALTH, INC.
Provider Business Mailing Address
First Line : 1695 N. SUNRISE WAY
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262
Country : US
Telephone Number : 760-323-2118
Fax Number : 858-634-6946
Provider Business Practice Location Address
First Line : 66675 PIERSON BLVD
Second Line :
City : DESERT HOT SPRINGS
State : CA
Zip : 92240-3737
Country : US
Telephone Number : 760-676-5240
Fax Number : 858-634-6946
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : JUDY STITH
Credential :
Telephone Number : 760-323-2118
Provider Enumeration Date : 08/27/2010
Last Update Date : 08/09/2024

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