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Organization
RENEE M. DAVIDSON, DC A CHIROPRACTIC CORP
Active
Organization
RENEE M. DAVIDSON, DC A CHIROPRACTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE M DAVIDSON D.C. (PROVIDER OWNER)
(323) 664-6003
Entity
Organization
Contact information
Practice address
2107 HILLHURST AVE, LOS ANGELES, CA 90027-2003
(323) 664-6003
(323) 664-8931
Mailing address
15550 ROCKFIELD BLVD, B220, IRVINE, CA 92618-2720
(949) 598-9999
(949) 598-9990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC13996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0139960
BLUE SHIELD
CA
Enumeration date
04/13/2007
Last updated
10/18/2007
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