Individual
DR. DAVID OSCAR JAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 PEACH ST STE A, SAN LUIS OBISPO, CA 93401-2871
(805) 543-4043
(805) 543-7640
Mailing address
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401-2869
(805) 543-4043
(805) 543-7640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G42639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB218964
MEDICARE ID
CA
Enumeration date
12/13/2006
Last updated
11/02/2023
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