Individual
JUNE M LUGOVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, NEPHROLOGY DEPARTMENT, SAN JOSE, CA 95128-2604
(408) 885-2100
Mailing address
PO BOX 742502, LOS ANGELES, CA 90074-2502
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G70977
CA
207RN0300X
Nephrology Physician
Primary
G70977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G709770
—
CA
Enumeration date
04/21/2006
Last updated
03/23/2015
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