Blaire Davison
Blaire Davison is a Family Practice in Santa Ana, California. Graduated from Western University of Health Sciences College of Dental Med in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment.
- Years since qualifying
- 9
- Trained at
- Western University of Health Sciences College of Dental Med
- In the registry since
- 2017
Practice location Address checks out
1900 E 4th StSanta Ana, CA 92705-3962
Phone: (888) 988-2800
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1548797301 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | November 17, 2021 |
| Certification date | August 26, 2020 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED |
| Graduated | 2017 (9 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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