Healthcare Provider Details

I. General information

NPI: 1003731498
Provider Name (Legal Business Name): G DAVIS CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8939 S SEPULVEDA BLVD STE 504
WESTCHESTER CA
90045-3645
US

IV. Provider business mailing address

324 S BEVERLY DR # 1202
BEVERLY HILLS CA
90212-4822
US

V. Phone/Fax

Practice location:
  • Phone: 310-672-0462
  • Fax:
Mailing address:
  • Phone: 310-672-0462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: GLENDA DAVIS
Title or Position: PRESIDENT
Credential:
Phone: 310-672-0462