# CARLOS M DAYRIT JR MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164521274
- **Authorized official:** CARLOS M DAYRIT M.D. (PROPRIETOR)
- **Authorized official phone:** (562) 547-2006

## Contact information

- **Practice address:** 18112 HARVEST AVE, CERRITOS, CA 90703-5551
- **Practice address phone:** (562) 547-2006
- **Mailing address:** 18112 HARVEST AVE, CERRITOS, CA 90703-5551
- **Mailing address phone:** (562) 547-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | A34641 | CA | — |
| 207Q00000X | Family Medicine Physician | A34641 | CA | — |
| 208D00000X | General Practice Physician | A34641 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 11/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A346410 | — | CA |
| 01 | — | A84671 | LICENSE NUMBER | CA |
