# DANIEL M DAMICO M D A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780860585
- **Authorized official:** DANIEL M DAMICO M D (PHYSICIAN)
- **Authorized official phone:** (916) 525-0620

## Contact information

- **Practice address:** 7551 TIMBERLAKE WAY, SUITE 200, SACRAMENTO, CA 95823-5420
- **Practice address phone:** (916) 525-0620
- **Practice address fax:** (916) 525-0620
- **Mailing address:** 7551 TIMBERLAKE WAY, SUITE 200, SACRAMENTO, CA 95823-5420
- **Mailing address phone:** (916) 525-0620
- **Mailing address fax:** (916) 525-0620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A118251 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 01/11/2008