David Koven Do Inc. | |
576 Hartnell St Monterey CA 93940-2833 | |
(707) 484-4665 | |
Not Available |
Full Name | David Koven Do Inc. |
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Speciality | Clinic/Center |
Location | 576 Hartnell St, Monterey, California |
Authorized Official Name and Position | David Koven (DIRECTOR) |
Authorized Official Contact | 7074844665 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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David Koven Do Inc. 576 Hartnell St Monterey CA 93940-2833 Ph: (707) 484-4665 | David Koven Do Inc. 576 Hartnell St Monterey CA 93940-2833 Ph: (707) 484-4665 |
NPI Number | 1245975978 |
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Provider Enumeration Date | 04/27/2022 |
Last Update Date | 04/26/2024 |
Certification Date | 04/26/2024 |
Medicare PECOS PAC ID | 4981085107 |
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Medicare Enrollment ID | O20220720000546 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245975978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
Provider Name | David Koven |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780189639 PECOS PAC ID: 4385049006 Enrollment ID: I20220718003451 |
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