Theodoros M Daskalakis, M.D., Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A90653 Issued in CA

Legal business name

THEODOROS M DASKALAKIS, M.D., INC

Practice address

1325 N Rose Dr
Suite 202
Placentia, CA 92870-3800

Phone

(714) 792-0978

Fax

(714) 203-1303

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theodoros Michael Daskalakis, M.D.

Title

President

Phone

(714) 792-0978

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1346394376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 202",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703919",
            "telephone_number": "714-792-0978",
            "fax_number": "714-201-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ROSE DR",
            "address_2": "SUITE 202",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703800",
            "telephone_number": "714-792-0978",
            "fax_number": "714-203-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODOROS M DASKALAKIS, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "DASKALAKIS",
        "authorized_official_first_name": "THEODOROS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-792-0978",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A90653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Placentia, CA
• Providers in Placentia, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.