Individual
MRS. IRENE JENNIFER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 16TH ST STE C2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90095-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19363
CA
Other
Enumeration date
05/18/2011
Last updated
08/29/2025
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