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NPI Code Detail

MEDICARE: DR. A ALEX DAVILA M.D.

MEDICARE: DR. A ALEX DAVILA M.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
1207P00000XEmergency Medicine PhysicianA87117CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508808544
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. A ALEX DAVILA M.D.
Provider Business Mailing Address
First Line : 41690 IVY ST STE B
Second Line :
City : MURRIETA
State : CA
Zip : 92562-9437
Country : US
Telephone Number : 951-200-6695
Fax Number :
Provider Business Practice Location Address
First Line : 36485 INLAND VALLEY DR
Second Line :
City : WILDOMAR
State : CA
Zip : 92595-9681
Country : US
Telephone Number : 951-677-9773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 05/02/2024

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