MEDICARE: DAMEN PSYCHIATRY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1326858291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAMEN PSYCHIATRY PC

Provider Business Mailing Address
First Line	:	150 N LINCOLN WAY
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-1721
Country	:	US
Telephone Number	:	209-598-4459
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 N LINCOLN WAY
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-1721
Country	:	US
Telephone Number	:	209-598-4459
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL DAMEN
Credential	:	DO
Telephone Number	:	209-598-4459

Provider Enumeration Date	:	01/13/2025
Last Update Date	:	01/13/2025

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Directions to “DAMEN PSYCHIATRY PC ” Practice Location

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