MEDICARE: DAIAN CORPORATION

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
1	251E00000X	Home Health Agency	060000034	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	060000034	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1558369603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAIAN CORPORATION

Provider Business Mailing Address
First Line	:	10507 GARDEN GROVE BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1128
Country	:	US
Telephone Number	:	714-689-2300
Fax Number	:	714-689-2301

Provider Business Practice Location Address
First Line	:	10507 GARDEN GROVE BLVD
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-1128
Country	:	US
Telephone Number	:	714-689-2300
Fax Number	:	714-689-2301

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	DR. ROSALIE LU WEBER
Credential	:	PHARM.D.
Telephone Number	:	714-590-3620

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	09/21/2016

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