Provider Demographics
NPI:1023812484
Name:NORMAN, DAVID ERIC SR
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ERIC
Last Name:NORMAN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 DEL AMO ST
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3050
Mailing Address - Country:US
Mailing Address - Phone:310-758-1815
Mailing Address - Fax:310-374-1242
Practice Address - Street 1:1200 DEL AMO ST
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3050
Practice Address - Country:US
Practice Address - Phone:310-758-1815
Practice Address - Fax:310-374-1242
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator