Individual
BEVERLY C DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3628 IMPERIAL HWY, 202, LYNWOOD, CA 90262-2600
(310) 631-5000
Mailing address
3628 E IMPERIAL HWY, SUITE 202, LYNWOOD, CA 90262-2643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A31558
CA
Other
Enumeration date
07/27/2006
Last updated
09/18/2012
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