Individual
DAVIDSON CHIME
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
20695 S WESTERN AVE, TORRANCE, CA 90501-1847
(310) 222-8618
(310) 222-8621
Mailing address
20695 S WESTERN AVE, TORRANCE, CA 90501-1834
(310) 222-8618
(310) 222-8621
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
4497270001
CA
Other
Enumeration date
02/11/2006
Last updated
07/09/2007
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