Individual provider · Type 1 NPI

Siuzanna Davidoff

Adult Medicine Physician · Van Nuys, CA

NPI number 1265349096 Active

Practice location

14222 Victory Blvd Apt 301
Van Nuys, CA 91401-6533

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X95041233 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1265349096

Siuzanna Davidoff's National Provider Identifier is 1265349096, issued on Aug 26, 2026. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Van Nuys, CA. The record was last updated on Aug 26, 2026.