Healthcare Provider Details

I. General information

NPI: 1780302588
Provider Name (Legal Business Name): SAMEDAY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 MAIN ST
SANTA MONICA CA
90405-5317
US

IV. Provider business mailing address

523 VICTORIA AVE
VENICE CA
90291-4832
US

V. Phone/Fax

Practice location:
  • Phone: 310-697-8126
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KYLE BURNETT
Title or Position: BILLING SPECIALIST
Credential:
Phone: 310-807-1373