| Dr Tracie Lyn Davis, MD, FACOG | |
|
8851 Center Dr Ste 210, La Mesa, CA 91942-3045 | |
| (619) 463-7775 | |
| (619) 463-4181 |
| Full Name | Dr Tracie Lyn Davis |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 8851 Center Dr Ste 210, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275680738 | NPI | - | NPPES |
| 9013016 | Other | AMERICAN BOARD OF OBSTETRICS & GYNECOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A89865 (California) | Primary |
| Entity Name | Borrego Community Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | Obhg California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215258892 PECOS PAC ID: 8729276795 Enrollment ID: O20101217000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracie Lyn Davis, MD, FACOG 8851 Center Dr Ste 210, La Mesa, CA 91942-3045 Ph: (194) 637-7756 | Dr Tracie Lyn Davis, MD, FACOG 8851 Center Dr Ste 210, La Mesa, CA 91942-3045 Ph: (619) 463-7775 |
Ms. Rebeca Sandoval, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5360 Jackson Drive, Suite 100, La Mesa, CA 91942 Phone: 619-464-1374 Fax: 619-464-1058 | |
Dr. Kevin L. Fulford, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-704-4966 | |
Andrew Jay Gellens, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 8851 Center Dr 210, La Mesa, CA 91942 Phone: 619-463-7775 Fax: 619-463-4181 | |
Mark Zyman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6908 Fax: 619-644-6960 | |
Dr. Camela Ann Mcgrath, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2702 | |
Mary Li Ma, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 |