Individual provider · Type 1 NPI
Calvin Travon Davis, PHYSICIAN ASSISTANT
Medical Physician Assistant · Vernon, CA
NPI number
1831814508
Active
Practice location
4580 Pacific Blvd. (stacy Medical Center)
Vernon, CA 90058
Fax (323) 582-2282
Mailing address
15632 Haskins Ave.
Compton, CA 90220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 15426 (CA) |
Medical Physician Assistant: Definition to come...
About NPI 1831814508
Calvin Travon Davis, PHYSICIAN ASSISTANT's National Provider Identifier is 1831814508, issued on Oct 5, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vernon, CA. The record was last updated on Oct 5, 2022.