Davydov, Erik E
Davydov, Erik E is an individual health care provider with primary practice located at 17909 Soledad Canyon Rd , Canyon Country CA 91387-3210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davydov, Erik E can be contacted via phone (661) 250-5230.Contact Information
Primary practice address
17909 Soledad Canyon Rd
Canyon Country CA 91387-3210
Phone: (661) 250-5230
Fax: (661) 250-5275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A066006 | California |
Profile Details
| NPI number | 1336173582 |
|---|---|
| LBN Legal business name | Davydov, Erik E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 26th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336173582 | NPPES |
| California | MEDICAID | 00A660060 |
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