Healthcare Provider Details

I. General information

NPI: 1689593626
Provider Name (Legal Business Name): BAYAN HEALTH CA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 N KALAHEO AVE APT D
KAILUA HI
96734-5803
US

IV. Provider business mailing address

2519 EL TONAS WAY
CARMICHAEL CA
95608-4736
US

V. Phone/Fax

Practice location:
  • Phone: 240-338-0567
  • Fax:
Mailing address:
  • Phone: 240-338-0567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEO DAMASCO
Title or Position: OWNER
Credential:
Phone: 240-338-0567