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Organization
KIMBERLY ROSE DAVIS MD INC APMC
Active
Organization
KIMBERLY ROSE DAVIS MD INC APMC
Active
Other names
Kimberly Rose Davis, MD INC A Professional Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R DAVIS MD (OWNER/PRESIDENT)
(858) 461-9866
Entity
Organization
Contact information
Practice address
2181 CITRACADO PARKWY, ESCONDIDO, CA 92029-4159
(442) 277-6100
Mailing address
153 SOUTH SIERRA # 1167, SOLANA BEACH, CA 92075-2050
(858) 461-9866
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A142106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A142106
MEDICAL LICENSE
CA
Enumeration date
09/28/2017
Last updated
09/07/2021
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