Victor L Kovner MD Facp
Organization Active NPI Primary Care Clinic/Center · Bonsall, CA
NPI 1134323488 · NPPES record last updated Dec 27, 2007
Key facts
- NPI
- 1134323488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- A28666 (CA)
- Legal business name
- VICTOR L KOVNER MD FACP
- Practice address
- 7060 Via Mariposa Sur
Bonsall, CA 92003-5621 - Phone
- (760) 643-9306
- Fax
- (760) 643-9399
- NPI assigned
- Jun 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Victor Lee Kovner, MD
- Title
- Sole Proprietor
- Phone
- (760) 643-9306
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A28666 | CA | Yes |
Addresses
Primary practice location
7060 Via Mariposa Sur
Bonsall, CA 92003-5621
Mailing address
7060 Via Mariposa Sur
Bonsall, CA 92003-5621
Phone (760) 643-9306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A286660 | Medicaid | CA | |
| W15120 | Other | CA | PTAN |
Other providers in Bonsall, CA
- Temecula Valley Cardiology Medical Group, Inc
- Neil W. Treister
- Tru-Health Enterprises, Inc.
- Vance Chiropractic, Inc.
- Veterans Foundation, Inc.
- Justin F Weiss
- William M Odom, DDS,Inc
- Harold Young
- Jung H Yu
- Young Joo Yu
All providers in Bonsall, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.