Provider Demographics
NPI:1649259524
Name:PAYAHSAPE, JOHN DAVID (HEALTH SERVICE TECH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:PAYAHSAPE
Suffix:
Gender:M
Credentials:HEALTH SERVICE TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1798 VIA CAPRI
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913-1521
Mailing Address - Country:US
Mailing Address - Phone:619-524-5204
Mailing Address - Fax:
Practice Address - Street 1:U.S. COAST GUARD
Practice Address - Street 2:2100 2ND ST SW, SUITE 5314
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20593-0001
Practice Address - Country:US
Practice Address - Phone:619-524-5204
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other