Healthcare Provider Details

I. General information

NPI: 1487294708
Provider Name (Legal Business Name): CHELSI DAYRIT FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020
Certification Date: 01/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9675 BRIGHTON WAY STE 380
BEVERLY HILLS CA
90210-5187
US

IV. Provider business mailing address

1822 CALLE FORTUNA
GLENDALE CA
91208-3023
US

V. Phone/Fax

Practice location:
  • Phone: 310-941-1531
  • Fax:
Mailing address:
  • Phone: 310-941-1531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: