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General NPI Number Information
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NPI Number | 1679078117
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Entity Type | Individual
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Provider Name | ALEKSANDR KOVALSKIY MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 818 PIER VIEW WAY
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City | OCEANSIDE
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State | CA
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Zip | 92054-2803
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Country | US
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Telephone | 760-631-5000
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Fax | 760-414-3892
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Provider Business Mailing Address
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Address Line | 1000 VALE TERRACE DR
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City | VISTA
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State | CA
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Zip | 92084-5218
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Country | US
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Telephone | 844-308-5003
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Fax | 760-414-3892
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME162561
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 323047
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A173918
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2019-02207
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License Number State | NC
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