Individual
SALLY LOUISE DAVIDSON WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2287
(323) 666-6563
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2804
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
G41338
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G413380
—
CA
01
—
00G413380 G81
CAL OPTIMA
CA
Enumeration date
09/27/2006
Last updated
05/08/2017
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