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Individual

ANGELA DAVIDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8700 BEVERLY BLVD STE 4311, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4451
Mailing address
400 N PEPPER AVE # M203, COLTON, CA 92324-1801
(877) 873-2762

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95257831
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95035326
CA

Other

Enumeration date
09/09/2024
Last updated
11/05/2025
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