Basic Information
| Provider Information | |||||||||
| NPI: | 1841436680 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CESARIO DAYAHAN MD INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 82337 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933802337 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613234710 | ||||||||
| FaxNumber: | 6613234703 | ||||||||
| Practice Location | |||||||||
| Address1: | 27300 IRIS AVE | ||||||||
| Address2: | |||||||||
| City: | MORENO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925554802 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9512430811 | ||||||||
| FaxNumber: | 6613234703 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/29/2008 | ||||||||
| LastUpdateDate: | 05/12/2009 | ||||||||
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| AuthorizedOfficialLastName: | DAYAHAN | ||||||||
| AuthorizedOfficialFirstName: | CESARIO | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6613235918 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A82521 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | BH132Z | 01 | CA | INDIVIDUAL M-CARE PTAN | OTHER |