DAEMEN MEDICAL GROUP – NPI #1669689741
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

DAEMEN MEDICAL GROUP is a provider located in MANTECA, CA. NPPES has assigned the NPI number 1669689741 to DAEMEN MEDICAL GROUP on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DAEMEN MEDICAL GROUP below.

NPI Profile for
DAEMEN MEDICAL GROUP

NPI Number
1669689741
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DAEMEN MEDICAL GROUP
Primary location
295 MCNARY CIRCLE
MANTECA, CA 95336
Phone: (209) 824-2202 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA BOUCHARD
GYNECOLOGY
Phone: (209) 824-2202
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
CA G58369

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.