# MARINA KOVALEVSKY, M.D., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033164579
- **Authorized official:** MARINA KOVALEVSKY M.D. (PRESIDENT)
- **Authorized official phone:** (323) 650-3335

## Contact information

- **Practice address:** 7737 SANTA MONICA BLVD, LOS ANGELES, CA 90046-6269
- **Practice address phone:** (323) 650-3335
- **Practice address fax:** (323) 650-3337
- **Mailing address:** 7737 SANTA MONICA BLVD, LOS ANGELES, CA 90046-6269
- **Mailing address phone:** (323) 650-3335
- **Mailing address fax:** (323) 650-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 04/01/2013