Davidson, John

Davidson, John is an individual health care provider with primary practice located at 3085 Loma Vista Rd , Ventura CA 93003-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Davidson, John can be contacted via phone (805) 648-3085.

Contact Information

Primary practice address
3085 Loma Vista Rd Ventura CA 93003-2916
Fax: (805) 648-7027
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G71316 California

Profile Details

NPI number 1205870748
LBN Legal business name Davidson, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Dec 16th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205870748 NPPES
California MEDICAID GR0076890
California Other 205153800
California Other WG71316D
California Other G713160
California Other G713160
California Other 180035189

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