Individual
DR. BONNIE JEANNE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 W VALLEY PKWY STE 100, ESCONDIDO, CA 92025-2557
(760) 737-2050
Mailing address
6783 ALAMO CT, LA MESA, CA 91942-5876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C159789
CA
207Q00000X
Family Medicine Physician
MD19801
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C159789
STATE MEDICAL LICENSE
CA
Enumeration date
09/29/2005
Last updated
08/11/2023
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