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NPI Code Detail

MEDICARE: DR. DANIEL K. DAVIS MD

MEDICARE:  DR. DANIEL K. DAVIS  MD
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
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianA61920CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H68876OTHERCAUPIN
2A61920OTHERCASTATE LICENSE

General Provider Information

NPI Number : 1730150830
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL K. DAVIS MD
Provider Business Mailing Address
First Line : 1203 FLYNN RD UNIT 160
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-6203
Country : US
Telephone Number : 805-804-4168
Fax Number : 805-830-1177
Provider Business Practice Location Address
First Line : 2525 ERRINGER RD
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93065-2352
Country : US
Telephone Number : 805-527-1404
Fax Number : 805-527-5246
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2006
Last Update Date : 01/19/2026

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