Search › California › 1041C0700X
Tanaeyah Davis
NPI 1326699224 · on the registry since 2019 · sole proprietor
Practice
- Address
- 3850 Crenshaw Blvd
Los Angeles, CA 90008 - Phone
- (310) 357-3933
- Organisation at this address
- Southern California Health & Rehabilitation Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 242
Additional practice sites
- 2610 Industry Way, Lynwood, CA
- 6762 Lexington Ave, Los Angeles, CA
- 1030 Fayetteville Rd Se, Atlanta, GA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
101YM0800X
1041C0700X - Licence states on file
- CA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California