Provider Demographics
NPI:1164466173
Name:DAY, AMY LIGHTNER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:LIGHTNER
Last Name:DAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:10790 RANCHO BERNARDO RD
Mailing Address - Street 2:STE. 203
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-5705
Mailing Address - Country:US
Mailing Address - Phone:858-554-8984
Mailing Address - Fax:
Practice Address - Street 1:754 MEDICAL CENTER CT
Practice Address - Street 2:STE. 203
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6654
Practice Address - Country:US
Practice Address - Phone:619-656-6493
Practice Address - Fax:619-656-5727
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2016-07-07
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Provider Licenses
StateLicense IDTaxonomies
CAA71460208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A7 14600Medicaid
CA00A7 14600Medicaid