Provider Demographics
NPI:1215086996
Name:DAVI, JODI ANGELA (MD)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:ANGELA
Last Name:DAVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 SEAL ROCK DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1437
Mailing Address - Country:US
Mailing Address - Phone:415-221-9503
Mailing Address - Fax:
Practice Address - Street 1:88 SEAL ROCK DR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1437
Practice Address - Country:US
Practice Address - Phone:415-221-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGO804612080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine