Provider Demographics
NPI:1376933481
Name:DAVIE, ANNE ETOILE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:ETOILE
Last Name:DAVIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:970 MONUMENT ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3800
Mailing Address - Country:US
Mailing Address - Phone:310-454-2296
Mailing Address - Fax:310-454-2295
Practice Address - Street 1:970 MONUMENT ST STE 220
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3898
Practice Address - Country:US
Practice Address - Phone:310-454-2296
Practice Address - Fax:310-454-2295
Is Sole Proprietor?:No
Enumeration Date:2015-01-27
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA41620208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics