Davis, Pamela D

Davis, Pamela D is an sole proprietor health care provider with primary practice located at 133 N. Prairie Ave. , Inglewood CA 90301-4878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Davis, Pamela D can be contacted via phone (310) 419-0900.

Contact Information

Primary practice address
133 N. Prairie Ave. Inglewood CA 90301-4878
Fax: (310) 622-8776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G46258 California

Profile Details

NPI number 1689634974
LBN Legal business name Davis, Pamela D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 10th, 2019 - 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 1689634974 NPPES
California MEDICAID 00G462580

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