Healthcare Provider Details

I. General information

NPI: 1407379258
Provider Name (Legal Business Name): FELICIA L DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 HOWARD ST FL 2
SAN FRANCISCO CA
94103
US

IV. Provider business mailing address

1380 HOWARD ST FL 243
SAN FRANCISCO CA
94103-2638
US

V. Phone/Fax

Practice location:
  • Phone: 415-255-3786
  • Fax:
Mailing address:
  • Phone: 628-754-9260
  • Fax: 415-255-3786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: