MEDICARE: DR. CHRISTOPHER JOHN GOVEA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	A86995	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033113816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER JOHN GOVEA M.D.

Provider Business Mailing Address
First Line	:	3451 PINE RIDGE RD BLDG 601
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34109-3922
Country	:	US
Telephone Number	:	239-449-3072
Fax Number	:	877-334-1886

Provider Business Practice Location Address
First Line	:	2365 QUIMBY RD STE 100
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-1337
Country	:	US
Telephone Number	:	669-888-0001
Fax Number	:	669-888-0551

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	03/06/2024

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