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NPI Code Detail

MEDICARE: PAUL J DAVIS D.C.

MEDICARE: PAUL J DAVIS D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor111N00000XCA
2111NX0800XOrthopedic Chiropractor111NX0800XCA
3111NN0400XNeurology Chiropractor111NN0400XCA

General Provider Information

NPI Number : 1053330795
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL J DAVIS D.C.
Provider Business Mailing Address
First Line : 1203 E VERMONT AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-5622
Country : US
Telephone Number : 714-956-7530
Fax Number : 714-533-4141
Provider Business Practice Location Address
First Line : 1203 E VERMONT AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-5622
Country : US
Telephone Number : 714-956-7530
Fax Number : 714-533-4141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 06/29/2016

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