Dejesus, Daisy C

Dejesus, Daisy C is an sole proprietor health care provider with primary practice located at 190 Sierra Ct Ste C4 , Palmdale CA 93550-7609. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Dejesus, Daisy C can be contacted via phone (661) 463-0496.

Contact Information

Primary practice address
190 Sierra Ct Ste C4 Palmdale CA 93550-7609
Phone: (661) 463-0496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT109995 California

Profile Details

NPI number 1275878159
LBN Legal business name Dejesus, Daisy C
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2012
Last updated May 21st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275878159 NPPES
California Other 95-2633765 MEDI-CAL

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