DALE SOVAK D.P.M. C.PED NPI 1518003243

NPI Information

NPI: 1518003243
Provider Name: DALE SOVAK, D.P.M., C.PED
Classification: Podiatrist - 213ES0000X
Entity Type: Individual

Specialization: Sports Medicine

Address:
4576 E 2ND ST
H
BENICIA, CA
ZIP 94510
Phone: (707) 751-1630
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Dale Sovak, D.P.M., C.PED is a sports medicine podiatrist in Benicia, CA. Dale Sovak, D.P.M., C.PED NPI is 1518003243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4576 E 2ND ST
H
BENICIA, CA
ZIP 94510-046
Phone: (707) 751-1630
Fax: (925) 226-3184

The enumeration date for this NPI number is 1/29/2007 and was last updated on 10/28/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0000X	Podiatrist	Sports Medicine	E4144	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U71138	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

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