Davis, Edward Lee

Davis, Edward Lee is an individual health care provider with primary practice located at 658 S Washington Ave , Glendora CA 91740-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Davis, Edward Lee can be contacted via phone (626) 335-7207.

Contact Information

Primary practice address
658 S Washington Ave Glendora CA 91740-4330
Phone: (626) 335-7207
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G21363 California

Profile Details

NPI number 1386635803
LBN Legal business name Davis, Edward Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 17th, 2018 - about 7 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 1386635803 NPPES
California MEDICAID ZZZ72637Z

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