Individual
DR. JAVIER DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11160 WARNER AVE, SUITE 323, FOUNTAIN VALLEY, CA 92708-4008
(714) 751-7002
(714) 751-9340
Mailing address
11160 WARNER AVE, SUITE 323, FOUNTAIN VALLEY, CA 92708-4008
(714) 751-7002
(714) 751-9340
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G40075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G400750
—
CA
Enumeration date
08/13/2006
Last updated
07/08/2007
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