Healthcare Provider Details

I. General information

NPI: 1487575924
Provider Name (Legal Business Name): EVEN TRULY DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 S BEVERLY DR # 214
BEVERLY HILLS CA
90212-4822
US

IV. Provider business mailing address

324 S BEVERLY DR # 214
BEVERLY HILLS CA
90212-4822
US

V. Phone/Fax

Practice location:
  • Phone: 213-378-2373
  • Fax:
Mailing address:
  • Phone: 213-378-2373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZE0600X
TaxonomyElectroneurodiagnostic Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: