Individual
BRIAN DAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
75 NEILSON ST, WATSONVILLE, CA 95076-2468
(831) 724-4741
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1010
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A11571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01507017
RR PTAN
CA
Enumeration date
07/05/2011
Last updated
10/26/2015
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