DONALD D DAVIDSON JR.


Address: 9980 Houston Rd, Malibu, CA 90265-2137
Phone: 2138089770

DONALD D DAVIDSON JR. (NPI# 1477814986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477814986
Entity Type Individual
Full Name DONALD D DAVIDSON JR.
Credential M.D.
Practice Address 9980 Houston Rd
Malibu
CA 90265-2137
Mailing Address 5011 Swenson St
Apt 22b
Las Vegas
NV 89119-1388
Practice Telephone 2138089770
Mailing Telephone 2138089770
Enumeration Date 2012-05-31
Last Update Date 2016-11-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice A137144 CA Allopathic & Osteopathic Physicians

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Office Location

Street Address 9980 HOUSTON RD
City MALIBU
State CA
Zip Code 90265-2137

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1396835831 Victor Dorodny General Practice 30765 Pacific Coast Hwy # 285, Malibu, CA 90265-3646 2006-10-13

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Competitor

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City MALIBU
Zip Code 90265

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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