Daas Age Wise

LBN: County Of San Bernardino
Daas Age Wise is an health care organization with primary practice located at 18818 Hwy 18 , Apple Valley CA 92307-0009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. County Of San Bernardino can be contacted via phone (760) 995-8813, or through Thomas, Mark Edward via phone (951) 662-3730.

Contact Information

Primary practice address
18818 Hwy 18 Apple Valley CA 92307-0009
Phone: (760) 995-8813
Fax: (760) 995-8929
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Mark Edward LMFT
Phone: (951) 662-3730

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X ZZZ74743Z California

Profile Details

NPI number 1902010887
LBN Legal business name County Of San Bernardino
DBA Doing business as Daas Age Wise
Authorized official Thomas, Mark Edward LMFT
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Apr 18th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902010887 NPPES
California MEDICAID 36DM

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