Organization
ANCOVA INC.
Active
Other names
Ancova
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO JAVIER COVARRUBIAS MD (SURGEON)
(949) 356-8811
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST STE 5600, FOUNTAIN VALLEY, CA 92708-6728
(714) 273-5896
(714) 432-8891
Mailing address
107 ANTHOLOGY, IRVINE, CA 92618-0891
(949) 356-8811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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