Randall B Davis in Irvine - Marriage & Family Therapist
Randall B Davis - NPI 1124054119
Randall B Davis is a Marriage & Family Therapist in Irvine, California. Randall B Davis practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Randall B Davis is 1124054119. The last update date is 2018-12-12.
Randall B Davis's current location address is 3943 Irvine Blvd # 406, Irvine, California. You can contact this provider via phone number 9517368193 and fax number 8883880170. The mailing address for Randall B Davis is 3943 Irvine Blvd # 406, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall B Davis |
|---|---|
| Address | 3943 Irvine Blvd # 406, Irvine, California |
| Phone Number | 9517368193 |
| Fax Number | 8883880170 |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1124054119 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2018-12-12 |
Provider Mailing Address Detail
| Address | 3943 Irvine Blvd # 406 |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926022400 |
| Phone Number | 9517368193 |
| Fax Number | 8883880170 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 19383 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19383 | CA | MFC |
Post Comment/ Review Below
What is the Randall B Davis's unique identification number?
The Randall B Davis has been assigned the NPI (National Provider Identifier) Number 1124054119 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Randall B Davis?
The Randall B Davis is physically situated at 3943 Irvine Blvd # 406, in the city of Irvine, state of CA, with the postal code 926022400.
What is Randall B Davis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randall B Davis is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Randall B Davis receive its 1124054119 assignment from the Centers for Medicare & Medicaid Services?
The Randall B Davis was assigned its 1124054119 by the Centers for Medicare & Medicaid Services on 2006-06-23.
When was the information regarding Randall B Davis most recently updated?
The details pertaining to the Randall B Davis, including its address, specialty, and other relevant information, were last refreshed on 2018-12-12.