Healthcare Provider Details
I. General information
NPI: 1255035945
Provider Name (Legal Business Name): ONE DAY HEALTH, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2023
Last Update Date: 03/28/2023
Certification Date: 03/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
245 E REDLANDS BLVD STE M
SAN BERNARDINO CA
92408-3760
US
IV. Provider business mailing address
PO BOX 8126
REDLANDS CA
92375-1326
US
V. Phone/Fax
- Phone: 909-654-2199
- Fax: 310-982-2571
- Phone: 909-654-2199
- Fax: 310-982-2571
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0001X |
| Taxonomy | Clinical & Laboratory Immunology (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
SHAHZAD
RAHIM
FARUKHI
Title or Position: DIRECTOR
Credential: MD
Phone: 909-654-2199