Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A108227 | CA |
Y | 208600000X | Surgeon | A108227 | CA |
N | 2082S0105X | Plastic Hand Surgeon | 108227 | CA |
NPI | 1316170996 |
---|---|
Provider Name | Dr. Gabrielle Belinda Davis |
First Address | Beverly Hills, CA 90210-4218 |
Second Address | Beverly Hills, CA 90210-4218 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2009 |
Last Update Date | 03/11/2021 |