Organization
MARK DAVIDSON MD INC
Active
Organization
MARK DAVIDSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MEHRDAD DAVIDSON M.D. (PRESIDENT)
(310) 855-0222
Entity
Organization
Contact information
Practice address
8631 W 3RD ST # 1135E, LOS ANGELES, CA 90048-5901
(310) 855-0222
(310) 652-1905
Mailing address
PO BOX 7487, BEVERLY HILLS, CA 90212-7487
(310) 855-0222
(310) 652-1905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A67586
CA
Other
Enumeration date
07/09/2006
Last updated
05/03/2024
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