Provider Demographics
NPI:1023166683
Name:HAMMEL-DAVIS, DONNA P (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:P
Last Name:HAMMEL-DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DONNA
Other - Middle Name:P
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CAPT,MC,USN (RC)
Mailing Address - Street 1:PO BOX 27995
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92809-0133
Mailing Address - Country:US
Mailing Address - Phone:714-606-0737
Mailing Address - Fax:714-692-8401
Practice Address - Street 1:24475 PASEO DE TORONTO
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4939
Practice Address - Country:US
Practice Address - Phone:714-299-2525
Practice Address - Fax:714-692-8401
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC36533207Q00000X
NY123058207Q00000X
WI40754-020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine