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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1598180101
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	:	619-398-2412

Provider Business Practice Location Address
First Line	:	651 N STATE ST
Second Line	:
City	:	SAN JACINTO
State	:	CA
Zip	:	92583-6573
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	:	02/19/2014
Last Update Date	:	06/06/2024

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Directions to “DAP HEALTH, INC. ” Practice Location

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