Individual
DR. JOSEPH K DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S FAIR OAKS AVE STE 406, PASADENA, CA 91105
(626) 577-5437
Mailing address
PO BOX 2614, PASADENA, CA 91102-2614
(626) 577-5437
(626) 577-5439
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G86649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2539751
—
CA
Enumeration date
07/12/2006
Last updated
05/28/2018
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