Individual
JONG KWON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1370 E VENICE AVE STE 210, VENICE, FL 34285-9084
(941) 584-6272
Mailing address
5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
(818) 719-2000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C51917
CA
Other
Enumeration date
12/08/2006
Last updated
11/27/2024
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