Healthcare Provider Details
I. General information
NPI: 1023101375
Provider Name (Legal Business Name): DAVID DOWNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/01/2006
Last Update Date: 05/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
680 LANGSDORF DR SUITE 103
FULLERTON CA
92831-3702
US
IV. Provider business mailing address
680 LANGSDORF DR SUITE 103
FULLERTON CA
92831-3702
US
V. Phone/Fax
- Phone: 714-879-0050
- Fax: 714-879-0249
- Phone: 714-879-0050
- Fax: 714-879-0249
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | A84216 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: