# JOHN DAVIDSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205870748
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G71316 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 12/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180035189 | RAILROAD MEDICARE | CA |
| 01 | — | 205153800 | US DEPT. OF LABOR | CA |
| 01 | — | G713160 | CHAMPUS | CA |
| 05 | — | GR0076890 | — | CA |
| 01 | — | WG71316D | DMERC | CA |