# JOSEPH DAVIDSON, MD, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1790716884
- **Authorized official:** DR. JOSEPH K DAVIDSON M.D. (PRESIDENT)
- **Authorized official phone:** (626) 577-5437

## Contact information

- **Practice address:** 301 S FAIR OAKS AVE STE 406, PASADENA, CA 91105
- **Practice address phone:** (626) 577-5437
- **Mailing address:** PO BOX 2614, PASADENA, CA 91102-2614
- **Mailing address phone:** (626) 577-5437
- **Mailing address fax:** (626) 577-5439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 05/29/2018