Provider Demographics
NPI:1043423940
Name:FLYNN, DANIEL PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PATRICK
Last Name:FLYNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:340 ROSEWOOD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-5927
Mailing Address - Country:US
Mailing Address - Phone:805-388-3663
Mailing Address - Fax:805-388-3663
Practice Address - Street 1:340 ROSEWOOD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-5927
Practice Address - Country:US
Practice Address - Phone:805-388-3663
Practice Address - Fax:805-388-3663
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG768892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry