Individual
DR. CHARLES G. DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2028 E ROUTE 66, #202, GLENDORA, CA 91740-4609
(626) 732-9611
Mailing address
417 W FOOTHILL BLVD, #401, GLENDORA, CA 91741-5301
(626) 732-9611
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
17458
CA
111NS0005X
Sports Physician Chiropractor
17458
CA
111NX0100X
Occupational Health Chiropractor
17458
CA
Other
Enumeration date
01/13/2006
Last updated
09/11/2025
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