Organization
JOHN KOWNACKI MD A MEDICAL CORPORATION
Active
Other names
John Kownacki MD A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KOWNACKI MD (MD OWNER)
(619) 466-2022
Entity
Organization
Contact information
Practice address
8881 FLETCHER PKWY, #395, LA MESA, CA 91942-3134
(619) 440-2022
(619) 466-2466
Mailing address
8881 FLETCHER PKWY, #395, LA MESA, CA 91942-3134
(619) 440-2022
(619) 466-2466
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G84672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G846720
—
CA
Enumeration date
07/08/2006
Last updated
07/22/2011
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