Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A75984 | CA |
NPI | 1063435675 |
---|---|
Provider Name | Steven E Davis |
First Address | Torrance, CA 90510-3098 |
Second Address | Torrance, CA 90503-4352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 11/05/2017 |