| Drl Med Inc. | |
|
6404 Wilshire Blvd Suite 701 Los Angeles CA 90048-5501 | |
| (323) 653-3478 | |
| (323) 653-2720 |
| Full Name | Drl Med Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6404 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Douglas Davies (PRESIDENT/OWNER) |
| Authorized Official Contact | 3236533478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drl Med Inc. 6404 Wilshire Blvd Suite 701 Los Angeles CA 90048-5501 Ph: (323) 653-3478 | Drl Med Inc. 6404 Wilshire Blvd Suite 701 Los Angeles CA 90048-5501 Ph: (323) 653-3478 |
| NPI Number | 1124290697 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Medicare PECOS PAC ID | 9133396831 |
|---|---|
| Medicare Enrollment ID | O20120120000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124290697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A46270 (California) | Primary |
| Provider Name | Douglas David Davies |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326073222 PECOS PAC ID: 4688841380 Enrollment ID: I20120314000801 |
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