Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Lane Davis, DO

Individual provider Emergency Medicine Physician · NPI 1669823662

Justin Lane Davis, DO is an Emergency Medicine in West Hollywood, California. Qualified in 2016, 10 years ago. Practices with Emergency Services of Oklahoma PC, a 64-clinician group and accepts Medicare assignment. Licensed in California and Oklahoma.

Years since qualifying
10
Licensed in
CA, OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-8780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 6152 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 20A18362 (CA)

Record details

NPI number1669823662
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address4140 W 190th St Ste 306, Torrance, CA 90504-5513

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Emergency Services Of Oklahoma Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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