| Gerald M. Kovar, M.d. Inc. | |
|
5620 Wilbur Ave Suite 221 Tarzana CA 91356-1351 | |
| (818) 774-9225 | |
| (818) 774-1261 |
| Full Name | Gerald M. Kovar, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5620 Wilbur Ave, Tarzana, California |
| Authorized Official Name and Position | Gerald M Kovar (PHYSICIAN) |
| Authorized Official Contact | 8187749225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerald M. Kovar, M.d. Inc. 5620 Wilbur Ave Suite 221 Tarzana CA 91356-1351 Ph: (818) 774-9225 | Gerald M. Kovar, M.d. Inc. 5620 Wilbur Ave Suite 221 Tarzana CA 91356-1351 Ph: (818) 774-9225 |
| NPI Number | 1144406943 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/14/2008 |
| Medicare PECOS PAC ID | 6305922725 |
|---|---|
| Medicare Enrollment ID | O20080326000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144406943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G22853 (California) | Primary |
| Provider Name | Gerald M Kovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306883699 PECOS PAC ID: 9234215658 Enrollment ID: I20080326000394 |
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