Healthcare Provider Details

I. General information

NPI: 1235968512
Provider Name (Legal Business Name): MIA DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 CARNEGIE DR STE 270
SAN BERNARDINO CA
92408-3592
US

IV. Provider business mailing address

735 CARNEGIE DR STE 270
SAN BERNARDINO CA
92408-3592
US

V. Phone/Fax

Practice location:
  • Phone: 909-658-1060
  • Fax:
Mailing address:
  • Phone: 909-658-1060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: