Individual provider · Type 1 NPI

Clanice Shelia Davis

Prosthetic/Orthotic Supplier · Los Angeles, CA

NPI number 1992679013 Active

Practice location

1426 S Orange Dr
Los Angeles, CA 90019-4122

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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About NPI 1992679013

Clanice Shelia Davis's National Provider Identifier is 1992679013, issued on Oct 1, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 24, 2025.