Individual
JASON AARON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3828 E IMPERIAL HWY STE 300, LYNWOOD, CA 90262
(310) 900-4788
(310) 900-2704
Mailing address
17525 VENTURA BLVD STE 210, ENCINO, CA 91316-5111
(818) 986-2861
(818) 638-5762
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A116229
CA
207XX0801X
Orthopaedic Trauma Physician
Primary
A116229
CA
Other
Enumeration date
03/31/2011
Last updated
05/11/2022
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