Healthcare Provider Details

I. General information

NPI: 1285557454
Provider Name (Legal Business Name): BRITTANY DAVILA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 PALM AVE
BEAUMONT CA
92223-2319
US

IV. Provider business mailing address

12023 3RD ST UNIT A
YUCAIPA CA
92399-2743
US

V. Phone/Fax

Practice location:
  • Phone: 951-845-9579
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number735274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: