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NPI Code Detail

MEDICARE: DAVIS HEALTHCARE MANAGEMENT GROUP

MEDICARE: DAVIS HEALTHCARE MANAGEMENT GROUP
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
11041C0700XClinical Social WorkerCA
2111N00000XChiropractorCA
3111NN0400XNeurology ChiropractorCA
4111NX0800XOrthopedic ChiropractorCA
5174H00000XHealth EducatorCA
62084P0800XPsychiatry PhysicianCA
72255A2300XAthletic TrainerCA
8207Q00000XFamily Medicine PhysicianCA

General Provider Information

NPI Number : 1932644713
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVIS HEALTHCARE MANAGEMENT GROUP
Provider Business Mailing Address
First Line : 8502 E CHAPMAN AVE STE 458
Second Line :
City : ORANGE
State : CA
Zip : 92869-2461
Country : US
Telephone Number : 714-997-2674
Fax Number : 206-426-5175
Provider Business Practice Location Address
First Line : 1203 E VERMONT AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92805-5622
Country : US
Telephone Number : 714-997-2674
Fax Number : 206-426-5175
Authorized Official
Title or Position : CEO
Name : LUISA DAVIS
Credential :
Telephone Number : 714-448-1891
Provider Enumeration Date : 01/03/2017
Last Update Date : 01/03/2017

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1235257379 — MALCOLM JOHN WEHRLE, M.D., A PROF CORP
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1528513140 — MALCOLM JOHN WEHRLE MD, A PROFESSIONAL CORPORATION
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1982144705 — CAMBRIDGE HEALTHCARE MANAGEMENT SERVICES
Practice Location Address:
1203 E VERMONT AVE
ANAHEIM, CA
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Practice Fax:
1417532896 — MRS. LUISA DAVIS
Practice Location Address:
1203 E VERMONT AVE
ANAHEIM, CA
92805-5622
Practice Phone: 714-997-2674
Practice Fax:

Directions to “DAVIS HEALTHCARE MANAGEMENT GROUP ” Practice Location

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