Victor L Kovner Md Facp | |
7060 Via Mariposa Sur Bonsall CA 92003-5621 | |
(760) 643-9306 | |
(760) 643-9399 |
Full Name | Victor L Kovner Md Facp |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 7060 Via Mariposa Sur, Bonsall, California |
Authorized Official Name and Position | Victor Lee Kovner (SOLE PROPRIETOR) |
Authorized Official Contact | 7606439306 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Victor L Kovner Md Facp 7060 Via Mariposa Sur Bonsall CA 92003-5621 Ph: (760) 643-9306 | Victor L Kovner Md Facp 7060 Via Mariposa Sur Bonsall CA 92003-5621 Ph: (760) 643-9306 |
NPI Number | 1134323488 |
---|---|
Provider Enumeration Date | 06/12/2007 |
Last Update Date | 12/27/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134323488 | NPI | - | NPPES |
00A286660 | Medicaid | CA | |
W15120 | Other | CA | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A28666 (California) | Primary |
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