MEDICARE: JAMES A. DAVIES, M.D., INC

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	207W00000X	Ophthalmology Physician	C41798	CA

General Provider Information

NPI Number	:	1760661227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES A. DAVIES, M.D., INC

Provider Business Mailing Address
First Line	:	2124 S EL CAMINO REAL STE 100
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	760-729-7101
Fax Number	:	760-729-7106

Provider Business Practice Location Address
First Line	:	2124 S EL CAMINO REAL STE 100
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	760-729-7101
Fax Number	:	760-729-7106

Authorized Official
Title or Position	:	MEDICAL DIRECTOR/OWNER
Name	:	DR. JAMES ARTHUR DAVIES
Credential	:	M.D.
Telephone Number	:	760-729-7101

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	11/04/2020

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