Individual
ALEXANDER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 N RENO ST, LOS ANGELES, CA 90026-4656
(213) 380-7298
Mailing address
3099 ELLINGTON DR, LOS ANGELES, CA 90068-1736
(917) 991-5379
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
10/26/2023
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