# SANFORD S DAVIDSON MD A MEDICAL CORP

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

## Provider details

- **NPI number:** 1821107335
- **Authorized official:** SANFORD STEPHEN DAVIDSON MD PA (PRESIDENT)
- **Authorized official phone:** (310) 540-4433

## Contact information

- **Practice address:** 215 AVENIDA DEL NORTE, REDONDO BEACH, CA 90277
- **Practice address phone:** (310) 540-4433
- **Practice address fax:** (310) 316-4331
- **Mailing address:** 215 AVENIDA DEL NORTE, REDONDO BEACH, CA 90277
- **Mailing address phone:** (310) 540-4433
- **Mailing address fax:** (310) 316-4331

## Taxonomy

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

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 05/09/2008