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	251G00000X	Community Based Hospice Care Agency	550001495	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	:	1609960897
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 # F
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	:	CEO/PRESIDENT
Name	:	ROSALIE LU WEBER
Credential	:
Telephone Number	:	714-590-3620

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/23/2017

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Practice Location Address:

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Directions to “DAIAN CORPORATION ” Practice Location

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