1730519018 NPI number — DAY BY DAY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730519018 NPI number — DAY BY DAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAY BY DAY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730519018
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41655 DATE ST
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
MURRIETA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92562-7040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-797-9977
Provider Business Mailing Address Fax Number:
626-844-2977

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41655 DATE ST
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
MURRIETA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92562-7040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-797-9977
Provider Business Practice Location Address Fax Number:
626-844-2977
Provider Enumeration Date:
11/22/2013

Additional Information

Authorized Official

Authorized Official Last Name:
KOFF
Authorized Official First Name:
RANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
FOUNDER
Authorized Official Telephone Number:
626-797-9977

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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