MEDICARE: DR. PIERRE D. JOVEN D. D. S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	45884	CA

General Provider Information

NPI Number	:	1528130986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PIERRE D. JOVEN D. D. S

Provider Business Mailing Address
First Line	:	2251 COLORADO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-1156
Country	:	US
Telephone Number	:	323-259-3118
Fax Number	:	323-259-9983

Provider Business Practice Location Address
First Line	:	2251 COLORADO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90041-1156
Country	:	US
Telephone Number	:	323-259-3118
Fax Number	:	323-259-9983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/15/2014

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