Organization
KOVAHEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE JUIS BAUTISTA M.D. (OFFICER)
(559) 207-3198
Entity
Organization
Contact information
Practice address
7257 N MAPLE AVE STE 104, FRESNO, CA 93720-0167
(559) 207-3198
(559) 207-3901
Mailing address
7257 N MAPLE AVE STE 104, FRESNO, CA 93720-0167
(559) 207-3198
(559) 207-3901
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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