Victor L Kovner MD Facp

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A28666 Issued in 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

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor Lee Kovner, MD

Title

Sole Proprietor

Phone

(760) 643-9306

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1134323488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7060 VIA MARIPOSA SUR",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920035621",
            "telephone_number": "760-643-9306",
            "fax_number": "760-643-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 VIA MARIPOSA SUR",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920035621",
            "telephone_number": "760-643-9306",
            "fax_number": "760-643-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR L KOVNER MD FACP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "KOVNER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "760-643-9306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A28666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Bonsall, CA
• Providers in Bonsall, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.