Healthcare Provider Details

I. General information

NPI: 1851056733
Provider Name (Legal Business Name): DR. JAYNA COE HOVIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2021
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HAMPSHIRE RD
THOUSAND OAKS CA
91361-2800
US

IV. Provider business mailing address

850 HAMPSHIRE RD
THOUSAND OAKS CA
91361-2800
US

V. Phone/Fax

Practice location:
  • Phone: 805-383-0470
  • Fax:
Mailing address:
  • Phone: 805-383-0470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT300651
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: