Healthcare Provider Details

I. General information

NPI: 1093578650
Provider Name (Legal Business Name): BEFORE THE SUN HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2779 W CANYON AVE APT 233
SAN DIEGO CA
92123-4727
US

IV. Provider business mailing address

2779 W CANYON AVE APT 233
SAN DIEGO CA
92123-4727
US

V. Phone/Fax

Practice location:
  • Phone: 909-746-6917
  • Fax:
Mailing address:
  • Phone: 909-746-6917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: DEJA AMAN WHITE
Title or Position: CEO AND HEALTH COACH
Credential:
Phone: 909-746-6917