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General NPI Number Information
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NPI Number | 1588826291
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Entity Type | Organization
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Legal Business Name | JOSEPH F CZVIK MD INC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 1635 LAKE SAN MARCOS DR STE 202
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City | SAN MARCOS
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State | CA
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Zip | 92078-4661
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Country | US
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Telephone | 760-471-1020
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Fax | 760-471-1148
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Provider Business Mailing Address
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Address Line | PO BOX 390005
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City | SAN DIEGO
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State | CA
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Zip | 92149-0005
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Country | US
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Telephone | 619-746-6530
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Fax | 619-746-6528
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH FRANK CZVIK JR.
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Credential | M.D.
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Telephone | 619-746-6530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G73296
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License Number State | CA
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