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DAEMEN MEDICAL GROUP NPI 1669689741


NPI Information

NPI: 1669689741
Provider Name: DAEMEN MEDICAL GROUP
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
295 MCNARY CIRCLE
MANTECA, CA
ZIP 95336
Phone: (209) 824-2202
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DAEMEN MEDICAL GROUP is a gynecology obstetrics gynecology in Manteca, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DAEMEN MEDICAL GROUP NPI is 1669689741. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

295 MCNARY CIRCLE
MANTECA, CA
ZIP 95336
Phone: (209) 824-2202

The provider's authorized official is Linda Bouchard .
The authorized official title is Gynecology and has the following contact phone number (209) 824-2202.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyG58369CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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