Davies, Dantae D.

Davies, Dantae D. is an sole proprietor health care provider with primary practice located at 2650 Jones Way Ste 8, Simi Valley CA 93065-1217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Davies, Dantae D. can be contacted via phone (805) 577-7977.

Contact Information

Primary practice address
2650 Jones Way Ste 8 Simi Valley CA 93065-1217
Phone: (805) 577-7977
Fax: (805) 577-0745
Website:
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Health care specialties

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

Profile Details

NPI number 1649351941
LBN Legal business name Davies, Dantae D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Mar 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649351941 NPPES
California MEDICAID 00G288980

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