Davis, Angelique N

Davis, Angelique N is an individual health care provider with primary practice located at 6501 Van Nuys Blvd Ste 103 , Van Nuys CA 91401-1425. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Davis, Angelique N can be contacted via phone (818) 902-5315.

Contact Information

Primary practice address
6501 Van Nuys Blvd Ste 103 Van Nuys CA 91401-1425
Phone: (818) 902-5315
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X A9620386 California

Profile Details

NPI number 1275243958
LBN Legal business name Davis, Angelique N
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2022
Last updated Dec 2nd, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275243958 NPPES
California Other 2254000000X CASE MANAGER 1

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