MEDICARE: SUJAY DAYAL

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
1	207R00000X	Internal Medicine Physician	21643	CA

General Provider Information

NPI Number	:	1740920966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUJAY DAYAL

Provider Business Mailing Address
First Line	:	2334 BROWN DEER CT
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-4351
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	437 N EUCLID AVE
Second Line	:
City	:	ONTARIO
State	:	CA
Zip	:	91762-3427
Country	:	US
Telephone Number	:	909-988-2555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	06/01/2026

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Directions to “ SUJAY DAYAL ” Practice Location

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