Individual
RAFFAELE A. DAVIDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1236 N. MAGNOLIA AVE., ANAHEIM, CA 92801-2607
(714) 995-1000
(714) 828-7926
Mailing address
1236 N. MAGNOLIA AVE., ANAHEIM, CA 92801
(310) 450-5095
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A29865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A298650
MEDI CAL #
CA
Enumeration date
06/20/2005
Last updated
11/09/2012
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