MEDICARE: AYMAN DAMEN M.D.

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	207Q00000X	Family Medicine Physician	A48085	CA

General Provider Information

NPI Number	:	1346244050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYMAN DAMEN M.D.

Provider Business Mailing Address
First Line	:	150 N LINCOLN WAY
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-1721
Country	:	US
Telephone Number	:	209-745-4633
Fax Number	:	209-745-4637

Provider Business Practice Location Address
First Line	:	150 N LINCOLN WAY
Second Line	:
City	:	GALT
State	:	CA
Zip	:	95632-1721
Country	:	US
Telephone Number	:	209-745-4633
Fax Number	:	209-745-4637

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	05/25/2021

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