Organization
ROBERT M DAVIDSON, M.D., INC
Active
Organization
ROBERT M DAVIDSON, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE MANDZUCH (OFFICE MANAGER)
(310) 855-1971
Entity
Organization
Contact information
Practice address
8635 W 3RD ST, STE# 1050W, LOS ANGELES, CA 90048-6101
(310) 855-1971
Mailing address
8635 W 3RD ST, STE# 1050W, LOS ANGELES, CA 90048-6101
(310) 855-1971
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G22792
CA
Other
Enumeration date
07/11/2006
Last updated
07/13/2012
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