MEDICARE: SAMEDAY HEALTH

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1780302588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMEDAY HEALTH

Provider Business Mailing Address
First Line	:	523 VICTORIA AVE
Second Line	:
City	:	VENICE
State	:	CA
Zip	:	90291-4832
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 MAIN ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-5317
Country	:	US
Telephone Number	:	310-697-8126
Fax Number	:

Authorized Official
Title or Position	:	BILLING SPECIALIST
Name	:	KYLE BURNETT
Credential	:
Telephone Number	:	310-807-1373

Provider Enumeration Date	:	08/17/2022
Last Update Date	:	11/29/2022

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Directions to “SAMEDAY HEALTH ” Practice Location

Language	Start Address	Practice Location

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