Healthcare Provider Details

I. General information

NPI: 1558369603
Provider Name (Legal Business Name): DAIAN CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10507 GARDEN GROVE BLVD
GARDEN GROVE CA
92843-1128
US

IV. Provider business mailing address

10507 GARDEN GROVE BLVD
GARDEN GROVE CA
92843-1128
US

V. Phone/Fax

Practice location:
  • Phone: 714-689-2300
  • Fax: 714-689-2301
Mailing address:
  • Phone: 714-689-2300
  • Fax: 714-689-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number060000034
License Number StateCA

VIII. Authorized Official

Name: DR. ROSALIE LU WEBER
Title or Position: PRESIDENT/CEO
Credential: PHARM.D.
Phone: 714-590-3620