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NPI Code Detail

MEDICARE: DR. VERA DAVID PH.D

MEDICARE:  DR. VERA  DAVID  PH.D
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
1103T00000XPsychologistPSY10578CA

General Provider Information

NPI Number : 1093853947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA DAVID PH.D
Provider Business Mailing Address
First Line : 2444 WILSHIRE BLVD
Second Line : SUITE 307
City : SANTA MONICA
State : CA
Zip : 90403-5808
Country : US
Telephone Number : 310-453-6588
Fax Number : 310-453-0288
Provider Business Practice Location Address
First Line : 2444 WILSHIRE BLVD
Second Line : SUITE 307
City : SANTA MONICA
State : CA
Zip : 90403-5808
Country : US
Telephone Number : 310-453-6588
Fax Number : 310-453-0288
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ DR. VERA DAVID PH.D” Practice Location

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