Healthcare Provider Details

I. General information

NPI: 1124940366
Provider Name (Legal Business Name): MARIA CHRISTINA DE JESUS DAYRIT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 THIRD AVE
CHULA VISTA CA
91911-1305
US

IV. Provider business mailing address

880 THIRD AVE
CHULA VISTA CA
91911-1305
US

V. Phone/Fax

Practice location:
  • Phone: 619-205-4585
  • Fax:
Mailing address:
  • Phone: 619-205-4585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number39433
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: