# ANCOVA INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ancova
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225734981
- **Authorized official:** DR. ANTONIO JAVIER COVARRUBIAS MD (SURGEON)
- **Authorized official phone:** (949) 356-8811

## Contact information

- **Practice address:** 18111 BROOKHURST ST STE 5600, FOUNTAIN VALLEY, CA 92708-6728
- **Practice address phone:** (714) 273-5896
- **Practice address fax:** (714) 432-8891
- **Mailing address:** 107 ANTHOLOGY, IRVINE, CA 92618-0891
- **Mailing address phone:** (949) 356-8811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/03/2023
- **Last updated:** 02/03/2023