Provider Demographics
NPI:1013338227
Name:DAYAMED, INC.
Entity Type:Organization
Organization Name:DAYAMED, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-901-9275
Mailing Address - Street 1:32144 AGOURA RD STE 206
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4051
Mailing Address - Country:US
Mailing Address - Phone:805-371-4820
Mailing Address - Fax:
Practice Address - Street 1:32144 AGOURA RD STE 206
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4051
Practice Address - Country:US
Practice Address - Phone:805-371-4820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA49628207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty