Dr. Dantae D Davies Md

LBN: Dr. Dantae D Davies Md
Dr. Dantae D Davies Md is an health care organization with primary practice located at 1189 Swallow Ln Ste 201 , Simi Valley CA 93065-3157. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Other Service Providers / Specialist is the primary health care specialty. Dr. Dantae D Davies Md can be contacted via phone (805) 577-7977, or through Davies, Dantae D. via phone (805) 577-7977.

Contact Information

Primary practice address
1189 Swallow Ln Ste 201 Simi Valley CA 93065-3157
Phone: (805) 577-7977
Fax: (805) 577-0745
Website:
Map and Directions
Authorized official contact:
Name: Davies, Dantae D. Doctor of Medicine (MD)
Phone: (805) 577-7977

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G28898 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G28898 California

Profile Details

NPI number 1942428461
LBN Legal business name Dr. Dantae D Davies Md
DBA Doing business as
Authorized official Davies, Dantae D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2007
Last updated Nov 9th, 2017 - about 8 years ago

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 1942428461 NPPES
California MEDICAID 00G288980

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