Individual
DR. DANIELLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
120 N ASHWOOD AVE, VENTURA, CA 93003-1810
(805) 805-6526
Mailing address
PO BOX 2312, CAMARILLO, CA 93011-2312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G81280
CA
2084P0800X
Psychiatry Physician
G81280
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G80280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1360336
—
CA
Enumeration date
10/22/2005
Last updated
02/06/2023
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