TIMOTHY DAVIS MD NPI 1275841959

NPI Information

TIMOTHY DAVIS, MD is a pain medicine physical medicine rehabilitation in Santa Monica, 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 DAVIS, MD NPI is 1275841959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2811 WILSHIRE BLVD
SUITE 850
SANTA MONICA, CA
ZIP 90403-803
Phone: (310) 828-7757
Fax: (310) 594-5953

The provider's authorized official is Tatyana Dubinsky .
The authorized official title is Billing Manager and has the following contact phone number (310) 449-6591.

The CLIA number assigned to this NPI record is 05D2018035 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2010 and was last updated on 9/16/2010.

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:

Other Identifiers

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

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