Individual
KEVIN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W CALIFORNIA BLVD STE 228, PASADENA, CA 91105-3033
(909) 206-2443
Mailing address
5820 DAVID AVE APT 6, LOS ANGELES, CA 90034-2252
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
L10141
CA
Other
Enumeration date
05/22/2026
Last updated
05/28/2026
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