Individual
JOSEPH LUKE CONOVALOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WEST ARBOR DRIVE, MAIL CODE 8465, SAN DIEGO, CA 92103-8465
(619) 543-6266
Mailing address
200 WEST ARBOR DRIVE, MAIL CODE 8465, SAN DIEGO, CA 92103-8465
(619) 543-6266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
7621
CA
2084N0400X
Neurology Physician
Primary
A181185
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
12/29/2022
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