| Marina Kovalevsky, M.d., A Professional Corporation | |
|
7737 Santa Monica Blvd Los Angeles CA 90046-6269 | |
| (323) 650-3335 | |
| (323) 650-3337 |
| Full Name | Marina Kovalevsky, M.d., A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 7737 Santa Monica Blvd, Los Angeles, California |
| Authorized Official Name and Position | Marina Kovalevsky (PRESIDENT) |
| Authorized Official Contact | 3236503335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marina Kovalevsky, M.d., A Professional Corporation 7737 Santa Monica Blvd Los Angeles CA 90046-6269 Ph: (323) 650-3335 | Marina Kovalevsky, M.d., A Professional Corporation 7737 Santa Monica Blvd Los Angeles CA 90046-6269 Ph: (323) 650-3335 |
| NPI Number | 1033164579 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 04/01/2013 |
| Medicare PECOS PAC ID | 4587622998 |
|---|---|
| Medicare Enrollment ID | O20041230000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033164579 | NPI | - | NPPES |
| Provider Name | Marina Kovalevsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144377607 PECOS PAC ID: 0547160772 Enrollment ID: I20040623001531 |
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