Healthcare Provider Details

I. General information

NPI: 1932062908
Provider Name (Legal Business Name): STAY PALSITIVE LLC DBA SYNERGY HOMECARE OF LA MESA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7317 EL CAJON BLVD STE 202C
LA MESA CA
91942-7434
US

IV. Provider business mailing address

7317 EL CAJON BLVD STE 202C
LA MESA CA
91942-7434
US

V. Phone/Fax

Practice location:
  • Phone: 619-648-5222
  • Fax:
Mailing address:
  • Phone: 619-648-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PETER LE
Title or Position: OWNER
Credential:
Phone: 714-235-0425