KEN MAKOVSKY NPI 1720442494

NPI Information

NPI: 1720442494
Provider Name: KEN MAKOVSKY
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: INTEGRATED REHAB CONSULTANTS CALIFORNIA INC

PECOS Registration: Yes

Address:
11301 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711
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Ken Makovsky is a general practice in Los Angeles, CA with 8 years of experience. Ken Makovsky NPI is 1720442494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2016

The provider's business location address is:

11301 WILSHIRE BLVD
LOS ANGELES, CA
ZIP 90073
Phone: (310) 478-3711

The NPI 1720442494 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2016 and was last updated on 3/22/2019.

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	208D00000X	General Practice		A153909	CALIFORNIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program		63751	NEW YORK	No

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: 11/14/2023

NPI Synchronization or Removal

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