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1568439081

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
1	363LA2200X	Adult Health Nurse Practitioner	13692	CA
2	363LF0000X	Family Nurse Practitioner	12786	CA
3	207R00000X	Internal Medicine Physician	G073985	CA
4	207R00000X	Internal Medicine Physician	C42422	CA
5	207RG0100X	Gastroenterology Physician	G38965	CA
6	122300000X	Dentist	58114	CA
7	2084P0800X	Psychiatry Physician	A42138	CA
8	261QF0400X	Federally Qualified Health Center (FQHC)
9	207RI0200X	Infectious Disease Physician	A487212	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

General Provider Information

NPI Number	:	1568439081
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	:	92262-3701
Country	:	US
Telephone Number	:	760-323-2118
Fax Number	:	760-323-1539

Provider Business Practice Location Address
First Line	:	1695 N SUNRISE WAY
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-3701
Country	:	US
Telephone Number	:	760-323-2118
Fax Number	:	760-323-1539

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DAVID BRINKMAN
Credential	:
Telephone Number	:	760-323-2118

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	02/01/2024

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Directions to “DAP HEALTH INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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