Provider Demographics
NPI:1467884734
Name:DAVIS, JOHN MICHAEL (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MICHAEL
Last Name:DAVIS
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25425 ORCHARD VILLAGE RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2959
Mailing Address - Country:US
Mailing Address - Phone:661-284-1900
Mailing Address - Fax:661-284-1988
Practice Address - Street 1:25425 ORCHARD VILLAGE RD STE 220
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-2959
Practice Address - Country:US
Practice Address - Phone:661-284-1900
Practice Address - Fax:661-284-1988
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU3004231H00000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist