Davidson, Gary

Davidson, Gary is an individual health care provider with primary practice located at 13652 Cantara St , Panorama City CA 91402-5423. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davidson, Gary can be contacted via phone (818) 375-2000.

Contact Information

Primary practice address
13652 Cantara St Panorama City CA 91402-5423
Phone: (818) 375-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA20247 California

Profile Details

NPI number 1104027093
LBN Legal business name Davidson, Gary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Dec 1st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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