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TIMOTHY T DAVIS M.D. A PROFESSIONAL CORPORATION NPI 1134232192


NPI Information

NPI: 1134232192
Provider Name: TIMOTHY T DAVIS M.D. A PROFESSIONAL CORPORATION
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
122 SHELDON ST
EL SEGUNDO, CA
ZIP 90245
Phone: (310) 322-4278
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TIMOTHY T DAVIS M.D. A PROFESSIONAL CORPORATION is a pain medicine physical medicine rehabilitation in El Segundo, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. TIMOTHY T DAVIS M.D. A PROFESSIONAL CORPORATION NPI is 1134232192. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

122 SHELDON ST
EL SEGUNDO, CA
ZIP 90245-915
Phone: (310) 322-4278

The provider's authorized official is Timothy T Davis .
The authorized official title is Owner and has the following contact phone number (310) 828-7757.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 12/13/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineA63742CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A63742MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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