# TIMOTHY T. DAVIS M.D. A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336521905
- **Authorized official:** MR. TIMOTHY T DAVIS M.D. (CEO)
- **Authorized official phone:** (310) 574-2777

## Contact information

- **Practice address:** 2801 WILSHIRE BLVD STE A, SANTA MONICA, CA 90403-4801
- **Practice address phone:** (310) 574-2777
- **Practice address fax:** (310) 315-4968
- **Mailing address:** 1112 MONTANA AVE STE 900, SANTA MONICA, CA 90403-1652
- **Mailing address phone:** (310) 574-2777
- **Mailing address fax:** (310) 315-4968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A63742 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 05/01/2026