ANGELIQUE MICHELLE DAVIS NPI 1952081648

NPI Information

  • NPI: 1952081648
  • Provider Name: ANGELIQUE MICHELLE DAVIS
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Individual
  • Address: 4705 WILLOW BROOK AVE
    APT 6
    LOS ANGELES, CA
    ZIP 90029
  • Phone: (215) 309-9866

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NPI Details

Angelique Michelle Davis is a prosthetic orthotic supplier in Los Angeles, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Angelique Michelle Davis NPI is 1952081648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4705 WILLOW BROOK AVE
APT 6
LOS ANGELES, CA
ZIP 90029
Phone: (215) 309-9866

The enumeration date for this NPI number is 7/19/2023 and was last updated on 7/19/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierCALIFORNIAYes

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: 11/21/2025

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