MEDICARE: KALLI DAVIS APCC

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
1	101Y00000X	Counselor	16914	CA

General Provider Information

NPI Number	:	1336091354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALLI DAVIS APCC

Provider Business Mailing Address
First Line	:	19554 GREEN MOUNTAIN DR
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	519 S 3RD ST
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91502-1404
Country	:	US
Telephone Number	:	918-782-7020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/11/2026

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Directions to “ KALLI DAVIS APCC” Practice Location

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