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General NPI Number Information
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NPI Number | 1730150830
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Entity Type | Individual
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Provider Name | DANIEL K. DAVIS MD
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Gender | Male
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Dates
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Enumeration Date | 01/28/2006
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 2525 ERRINGER RD
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City | SIMI VALLEY
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State | CA
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Zip | 93065-2352
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Country | US
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Telephone | 805-527-1404
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Fax | 805-527-5246
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Provider Business Mailing Address
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Address Line | 1203 FLYNN RD UNIT 160
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City | CAMARILLO
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State | CA
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Zip | 93012-6203
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Country | US
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Telephone | 805-804-4168
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Fax | 805-830-1177
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | 61920
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | A61920
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A61920
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License Number State | CA
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