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General NPI Number Information
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NPI Number | 1013201938
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Entity Type | Individual
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Provider Name | BRIAN JOVES M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2011
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 4860 Y ST SUITE 3850
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City | SACRAMENTO
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State | CA
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Zip | 95817-2307
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Country | US
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Telephone | 916-734-5292
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Fax |
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Provider Business Mailing Address
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Address Line | 4420 DUCKHORN DR STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95834-2590
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | A122544
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A122544
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License Number State | CA
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