Provider Demographics
NPI:1023630019
Name:DAYA MEDICALS, INC.
Entity type:Organization
Organization Name:DAYA MEDICALS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CSO
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:NP-BC
Authorized Official - Phone:203-807-6390
Mailing Address - Street 1:1 E LIBERTY ST STE 600
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2110
Mailing Address - Country:US
Mailing Address - Phone:954-501-4907
Mailing Address - Fax:
Practice Address - Street 1:1 E LIBERTY ST STE 600
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2110
Practice Address - Country:US
Practice Address - Phone:954-501-4907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service