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General NPI Number Information
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NPI Number | 1457602757
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Entity Type | Organization
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Legal Business Name | GABOR KOVACS MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 31852 COAST HWY STE 305
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6764
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Country | US
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Telephone | 949-499-3085
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Fax | 949-499-4095
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Provider Business Mailing Address
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Address Line | 31852 COAST HWY STE 305
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-6764
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Country | US
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Telephone | 949-499-3085
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Fax | 949-499-4095
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Authorized Official
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Title or Position | OWNER
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Name | GABOR L KOVACS
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Credential | M.D.
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Telephone | 949-499-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A34788
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License Number State | CA
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