Davis, Michael J

Davis, Michael J is an individual health care provider with primary practice located at 301 W Huntington Dr Ste 107, Arcadia CA 91007-3462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Davis, Michael J can be contacted via phone (626) 574-0020.

Contact Information

Primary practice address
301 W Huntington Dr Ste 107 Arcadia CA 91007-3462
Phone: (626) 574-0020
Fax: (626) 574-7188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A111866 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036120010 Illinois
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X A111866 California

Profile Details

NPI number 1437320785
LBN Legal business name Davis, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Aug 7th, 2020 - about 4 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 1437320785 NPPES
Illinois MEDICAID 036120010 1

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