Dr Anne Etoile Davie, MD | |
970 Monument St Ste 220, Pacific Palisades, CA 90272-3898 | |
(310) 454-2296 | |
(310) 454-2295 |
Full Name | Dr Anne Etoile Davie |
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Gender | Female |
Speciality | Pediatrics |
Location | 970 Monument St Ste 220, Pacific Palisades, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376933481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A41620 (California) | Primary |
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
Mailing Address | Practice Location Address |
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Dr Anne Etoile Davie, MD 970 Monument St, Suite 220, Pacific Palisades, CA 90272-3800 Ph: (310) 454-2296 | Dr Anne Etoile Davie, MD 970 Monument St Ste 220, Pacific Palisades, CA 90272-3898 Ph: (310) 454-2296 |
Mary-margaret Shaffer Kim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 910 Via De La Paz, Suite 207, Pacific Palisades, CA 90272 Phone: 310-454-4466 Fax: 310-454-0916 | |
Dr. Marcella B. Hardart, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 910 Via De La Paz, Ste 207, Pacific Palisades, CA 90272 Phone: 310-454-4466 Fax: 310-454-0916 | |
Dr. Elizabeth Anne Marie Thompson, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 881 Alma Real Dr Ste 316, Pacific Palisades, CA 90272 Phone: 310-454-2296 Fax: 310-454-2295 | |
Dr. Alisa Ann Bromberg, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 881 Alma Real Dr Ste 316, Pacific Palisades, CA 90272 Phone: 310-454-2296 Fax: 310-454-2295 | |
Marna L Geisler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 918 Fiske St, Pacific Palisades, CA 90272 Phone: 310-795-7018 | |
Dr. William V La Via, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 654 Palmera Ave, Pacific Palisades, CA 90272 Phone: 415-315-9037 Fax: 301-398-7418 |