Organization
VICTOR L KOVNER MD FACP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR LEE KOVNER MD (SOLE PROPRIETOR)
(760) 643-9306
Entity
Organization
Contact information
Practice address
7060 VIA MARIPOSA SUR, BONSALL, CA 92003-5621
(760) 643-9306
(760) 643-9399
Mailing address
7060 VIA MARIPOSA SUR, BONSALL, CA 92003-5621
(760) 643-9306
(760) 643-9399
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A28666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A286660
—
CA
01
—
W15120
PTAN
CA
Enumeration date
06/12/2007
Last updated
12/27/2007
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