DANIEL DAVIS

LOS ALAMITOS, CA
NPI1194173047
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  53557)
Enumeration Date2016-06-01
Last Update Date2021-10-12
Business Address
DANIEL DAVIS PA-C
3851 KATELLA AVE STE 202
LOS ALAMITOS, CA 90720-3497
Phone number: 562-206-0177
Mailing Address
DANIEL DAVIS PA-C
PHR GROUP PROVIDER ENROLLMENT UNIT 393 E WALNUT ST FL 3
PASADENA, CA 91188-0001
Phone number: 877-608-0044
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