MEDICARE: SUSAN DAVIS VN 689931

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	VN689931	CA

General Provider Information

NPI Number	:	1518655661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN DAVIS VN 689931

Provider Business Mailing Address
First Line	:	2107 CYPRESS ST
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-1759
Country	:	US
Telephone Number	:	661-974-0785
Fax Number	:

Provider Business Practice Location Address
First Line	:	2107 CYPRESS ST
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-1759
Country	:	US
Telephone Number	:	661-974-0785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/26/2023

Similar Medicare Providers

1801643838 — AZALEA MANOR
Practice Location Address:

1759 WINDERMERE DR
LANCASTER, CA
93534-5319

Practice Phone: 818-687-3830
Practice Fax: 661-949-1304

1659222966 — ANTELOPE VALLEY HEALING CENTER
Practice Location Address:

1759 WINDERMERE DR
LANCASTER, CA
93534-5319

Practice Phone: 661-206-7900
Practice Fax: 661-209-3750

1821066325 — DR. GHASSAN S DAHHAN MD
Practice Location Address:

1759 W AVENUE J , #101
LANCASTER, CA
93534-2703

Practice Phone: 661-948-1388
Practice Fax: 661-948-1223

1801864301 — DR. BASSAM A HADAYA MD
Practice Location Address:

1759 W AVENUE J , STE 101
LANCASTER, CA
93534-2703

Practice Phone: 661-948-1388
Practice Fax: 661-948-1223

1871562900 — DR. SUNG CHUL YANG MD
Practice Location Address:

1759 W AVENUE J , STE 101
LANCASTER, CA
93534-2703

Practice Phone: 661-948-1388
Practice Fax: 661-948-1223

1336172949 — ANTELOPE VALLEY NEPHROLOGY MEDICAL GROUP, INC.
Practice Location Address:

1759 W AVENUE J # 101
LANCASTER, CA
93534-2703

Practice Phone: 661-948-1388
Practice Fax: 661-948-1223

Directions to “ SUSAN DAVIS VN 689931” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.