Provider Demographics
NPI:1235836859
Name:KAIYARE, DANIEL NJOROGE
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:NJOROGE
Last Name:KAIYARE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 LAS PALMAS DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2315
Mailing Address - Country:US
Mailing Address - Phone:714-760-8008
Mailing Address - Fax:
Practice Address - Street 1:553 LAS PALMAS DR
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92602-2315
Practice Address - Country:US
Practice Address - Phone:714-760-8008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238791164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse