Individual
CAROLINA COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2999 OVERLAND AVE STE 205, LOS ANGELES, CA 90064
(310) 529-3899
Mailing address
13900 MARQUESAS WAY APT 4432, MARINA DEL REY, CA 90292-6063
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A114610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124260914
—
CA
Enumeration date
03/25/2009
Last updated
05/06/2019
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