Healthcare Provider Details

I. General information

NPI: 1194052209
Provider Name (Legal Business Name): HOVAN SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11490 BURBANK BLVD STE 3H
NORTH HOLLYWOOD CA
91601-2389
US

IV. Provider business mailing address

11490 BURBANK BLVD STE 3H
NORTH HOLLYWOOD CA
91601-2389
US

V. Phone/Fax

Practice location:
  • Phone: 818-236-9154
  • Fax:
Mailing address:
  • Phone: 818-236-9154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DENNIS MCANDREW
Title or Position: MANAGER
Credential:
Phone: 818-236-9154