Susan Stanik Davis MD

NPI 1780600841 - Internal Medicine - 207RE0101X

NPI Details
NPI 1780600841
Gender Female
Enumeration Date 07/14/2006
Last Updated 03/29/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
200 MEDICAL PLAZA
#214,365,530,420,120
LOS ANGELES CA, 90095, US
Phone (310) 825-0631
Fax
Business Location
5767 W CENTURY BLVD
SUITE 200
LOS ANGELES CA, 90045-5632, US
Phone (310) 825-0631
Fax
Toxanomy
Taxonomy Code 207RE0101X
License State California
License Number G31244
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According to our database, Susan Stanik Davis MD NPI is 1780600841, taxonomy code is 207RE0101X and license number is G31244, license state is located at California. Susan Stanik Davis MD physically located at 200 Medical Plaza, Los Angeles CA, 90095. NPI Number Susan Stanik Davis MD has the Individual type.

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1780600841 NPI number is provided on an as is basis without warranty of any kind. 1780600841 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Stanik Davis MD are for informational purposes only.