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VICTOR L KOVNER MD FACP NPI 1134323488


NPI Information

NPI: 1134323488
Provider Name: VICTOR L KOVNER MD FACP
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7060 VIA MARIPOSA SUR
BONSALL, CA
ZIP 92003
Phone: (760) 643-9306
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VICTOR L KOVNER MD FACP is a primary care clinic center in Bonsall, CA. VICTOR L KOVNER MD FACP NPI is 1134323488. The provider is registered as an organization entity type.

The provider's business location address is:

7060 VIA MARIPOSA SUR
BONSALL, CA
ZIP 92003-621
Phone: (760) 643-9306
Fax: (760) 643-9399

The provider's authorized official is Victor Lee Kovner .
The authorized official title is Sole Proprietor and has the following contact phone number (760) 643-9306.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 12/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareA28666CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A25469MEDICARE UPINCALIFORNIA
2W15120OTHERCALIFORNIAPTAN
300A286660MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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