Daystar Medical Corporation in Upland - Chiropractor
Daystar Medical Corporation - NPI 1114066438
Daystar Medical Corporation is a Chiropractor in Upland, California. Daystar Medical Corporation practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Daystar Medical Corporation is 1114066438. The last update date is 2020-08-22.
Daystar Medical Corporation's current location address is 954 W Foothill Blvd, Upland, California. You can contact this provider via phone number 7146192454 and fax number 7146192453. The mailing address for Daystar Medical Corporation is 954 W Foothill Blvd, Upland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Daystar Medical Corporation |
|---|---|
| Address | 954 W Foothill Blvd, Upland, California |
| Phone Number | 7146192454 |
| Fax Number | 7146192453 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sirakoff Dimitri |
| Credentials | DO |
| Telephone Number | 7146192443 |
NPI Number Detail
| NPI Number | 1114066438 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 954 W Foothill Blvd |
|---|---|
| City | Upland |
| State | California (CA) |
| Post Code | 9178637130 |
| Phone Number | 7146192454 |
| Fax Number | 7146192453 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Daystar Medical Corporation's 1114066438?
The Daystar Medical Corporation's NPI (National Provider Identifier) Number is 1114066438. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Daystar Medical Corporation is physically located?
The Daystar Medical Corporation is situated at the following address: 954 W Foothill Blvd, Upland, CA 9178637130.
What is Daystar Medical Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Daystar Medical Corporation is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Daystar Medical Corporation receive its 1114066438 assignment from the Centers for Medicare & Medicaid Services?
The Daystar Medical Corporation was assigned its 1114066438 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the Daystar Medical Corporation's details last updated?
The information pertaining to the Daystar Medical Corporation, including its address, specialty, and other details, was most recently updated on 2020-08-22.