Individual
EVAN DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5841
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 423-5841
(310) 423-0387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A167278
CA
2085R0202X
Diagnostic Radiology Physician
ME134106
FL
208600000X
Surgery Physician
R75470
AZ
Other
Enumeration date
04/18/2016
Last updated
09/26/2025
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