MEDICARE: JAMES A DAVIES 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
1	207W00000X	Ophthalmology Physician	C41798	CA

General Provider Information

NPI Number	:	1699770511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A DAVIES M.D.

Provider Business Mailing Address
First Line	:	2124 S EL CAMINO REAL STE 100
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	760-729-7101
Fax Number	:	760-729-7106

Provider Business Practice Location Address
First Line	:	2124 S EL CAMINO REAL STE 100
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	760-729-7101
Fax Number	:	760-729-7106

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	11/04/2020

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