# KIMBERLY ROSE DAVIS MD INC APMC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kimberly Rose Davis, MD INC A Professional Medical Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316456734
- **Authorized official:** KIMBERLY R DAVIS MD (OWNER/PRESIDENT)
- **Authorized official phone:** (858) 461-9866

## Contact information

- **Practice address:** 2181 CITRACADO PARKWY, ESCONDIDO, CA 92029-4159
- **Practice address phone:** (442) 277-6100
- **Mailing address:** 153 SOUTH SIERRA \# 1167, SOLANA BEACH, CA 92075-2050
- **Mailing address phone:** (858) 461-9866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A142106 | CA | Yes |

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 09/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A142106 | MEDICAL LICENSE | CA |