Individual
MR. CALVIN TRAVON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4580 PACIFIC BLVD. (STACY MEDICAL CENTER), VERNON, CA 90058
(323) 584-0779
(323) 582-2282
Mailing address
15632 HASKINS AVE., COMPTON, CA 90220
(323) 203-4678
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15426
CA
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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