Provider Demographics
NPI:1629167531
Name:DAVIS, CAROL E (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:E
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3838 W CARSON ST STE 105
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-6703
Mailing Address - Country:US
Mailing Address - Phone:310-543-4546
Mailing Address - Fax:310-543-1519
Practice Address - Street 1:3838 W CARSON ST STE 105
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6703
Practice Address - Country:US
Practice Address - Phone:310-543-4546
Practice Address - Fax:310-543-1519
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2016-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG50376207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology