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NPI Code Detail

MEDICARE: DAP HEALTH, INC.

MEDICARE: DAP HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician080000651CA
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1134144165
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAP HEALTH, INC.
Provider Business Mailing Address
First Line : 1695 N. SUNRISE WAY
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262
Country : US
Telephone Number : 760-323-2118
Fax Number : 760-767-4552
Provider Business Practice Location Address
First Line : 4343 YAQUI PASS RD
Second Line :
City : BORREGO SPRINGS
State : CA
Zip : 92004-2369
Country : US
Telephone Number : 760-767-5051
Fax Number : 760-767-4552
Authorized Official
Title or Position : CHIEF ADMINISTRATIVE OFFICER
Name : JUDY STITH
Credential :
Telephone Number : 760-323-2118
Provider Enumeration Date : 07/12/2006
Last Update Date : 03/07/2024

Similar Medicare Providers

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Practice Location Address:
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1730294174 — UNNEETHA PHILOMENA PRUITT R.N., N.P.
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Practice Fax: 760-767-4690
1235313396 — MR. WILLIAM S. WELTE NMW
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1295971208 — MRS. DENISE GORDON PSYCHOLOGIST
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1093251910 — DAP HEALTH, INC.
Practice Location Address:
590 PALM CANYON DR. , 212
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Practice Phone: 760-767-5112
Practice Fax: 760-767-5613

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