OrganizationRobert M Davidson, M.D., IncInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address8635 W 3rd St, Ste# 1050w, Los Angeles, CA 90048-6101(310) 855-1971PECOS EnrollmentBased on the most recent information from CMS, provider Robert M Davidson, M.D., Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1750315941Provider TypeOrganizationFull NameRobert M Davidson, M.D., IncSubpartNoEnumeration Date7/11/2006Last Updated7/13/2012Contact InformationPractice LocationPractice Address8635 W 3rd St, Ste# 1050w, Los Angeles, CA 90048-6101Phone(310) 855-1971FaxUnlisted FaxMailing LocationMailing Address8635 W 3rd St, Ste# 1050w, Los Angeles, CA 90048-6101Phone(310) 855-1971FaxUnlisted FaxAuthorized OfficialNameMandzuch, Ellie (Office Manager)Phone(310) 855-1971Provider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseG22792California