| Daniel C Zovich Md Inc | |
|
1551 Bishop St Ste 450 San Luis Obispo CA 93401-4663 | |
| (805) 476-6410 | |
| (805) 476-6320 |
| Full Name | Daniel C Zovich Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1551 Bishop St Ste 450, San Luis Obispo, California |
| Authorized Official Name and Position | Daniel C Zovich (OWNER) |
| Authorized Official Contact | 8054766410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C Zovich Md Inc Po Box 1187 San Luis Obispo CA 93406-1187 Ph: (805) 476-6410 | Daniel C Zovich Md Inc 1551 Bishop St Ste 450 San Luis Obispo CA 93401-4663 Ph: (805) 476-6410 |
| NPI Number | 1295834091 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 10/18/2022 |
| Medicare PECOS PAC ID | 0446239735 |
|---|---|
| Medicare Enrollment ID | O20040719001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295834091 | NPI | - | NPPES |
| WA78252B | Other | CA | PPIN |
| 00A782520 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A78252 (* (Not Available)) | Primary |
| Provider Name | Daniel Zovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538140017 PECOS PAC ID: 3072592369 Enrollment ID: I20040720000350 |
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