Provider Demographics
NPI:1548957665
Name:DANIEL T FLAMING MD, PC
Entity type:Organization
Organization Name:DANIEL T FLAMING MD, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:FLAMING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-741-6612
Mailing Address - Street 1:222 ATHERTON AVE
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93004-3827
Mailing Address - Country:US
Mailing Address - Phone:972-741-6612
Mailing Address - Fax:
Practice Address - Street 1:3200 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3221
Practice Address - Country:US
Practice Address - Phone:805-676-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty