Provider Demographics
NPI:1396814836
Name:DAVIS, ALBERIA JOSEPH (MS)
Entity Type:Individual
Prefix:MR
First Name:ALBERIA
Middle Name:JOSEPH
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 MELROSE AVE
Mailing Address - Street 2:#39
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6588
Mailing Address - Country:US
Mailing Address - Phone:619-271-9593
Mailing Address - Fax:
Practice Address - Street 1:PCD SAMPSON (DDG-102)
Practice Address - Street 2:3975 NORMAN SCOTT RD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136
Practice Address - Country:US
Practice Address - Phone:619-556-3578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1710I1002XOtherINDEPENDENT DUTY CORPSMAN