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Licensing details for: A 63742

Name: DAVIS, TIMOTHY TAYLOR

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of Missouri-Kansas City School of Medicine

Graduation Year: 1996

Address of Record

2801 Wilshire Blvd Ste A
SANTA MONICA CA 90403-4801
LOS ANGELES county
Map

Issuance Date

October 24, 1997

Expiration Date

July 31, 2027

Current Date / Time

August 10, 2026
7:19:25 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Not in Training
Postgraduate Training Years
5
Primary Area of Practice
Pain Medicine
Secondary Area of Practice
Physical Medicine and Rehabilitation
ABMS Certifications
American Board of Pain Medicine - Pain Medicine
American Board of Physical Medicine and Rehabilitation - Physical Medicine and Rehabilitation
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 20-29 Hours
Percentage (%) of patient care hours spent on telehealth - 15
Training - 1-9 Hours
Research - 10-19 Hours
Administration - 10-19 Hours
Other - None
Primary Practice Location
Zip - 90403
United States Primary Practice Location
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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