Individual
DR. JAMES DANIEL TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2438 N PONDEROSA DR STE C105, CAMARILLO, CA 93010-2465
(805) 388-2068
(805) 484-7700
Mailing address
6399 SAN IGNACIO AVE STE 120, SAN JOSE, CA 95119-1215
(408) 369-5620
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
192431
NY
207N00000X
Dermatology Physician
Primary
20A6512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01840220
—
NY
Enumeration date
10/03/2005
Last updated
12/04/2020
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