Healthcare Provider Details

I. General information

NPI: 1659824837
Provider Name (Legal Business Name): DAP HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2016
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68555 RAMON ROAD SUITE D105
CATHEDRAL CITY CA
92234
US

IV. Provider business mailing address

1695 N SUNRISE WAY
PALM SPRINGS CA
92262
US

V. Phone/Fax

Practice location:
  • Phone: 760-767-3047
  • Fax: 858-635-6931
Mailing address:
  • Phone: 760-323-2118
  • Fax: 858-634-6931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY54625
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JUDY STITH
Title or Position: CHIEF ADMINISTRATIVE OFFICER
Credential:
Phone: 760-323-2118