MEDICARE: DR. MYRON ROSS KANOFSKY 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	207V00000X	Obstetrics & Gynecology Physician	C40010	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33-0306480	OTHER		CHAMPUS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083679377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MYRON ROSS KANOFSKY M.D.

Provider Business Mailing Address
First Line	:	1010 W LA VETA AVE
Second Line	:	SUITE 775
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-954-0270
Fax Number	:	714-954-0272

Provider Business Practice Location Address
First Line	:	1010 W LA VETA AVE
Second Line	:	SUITE 775
City	:	ORANGE
State	:	CA
Zip	:	92868-4306
Country	:	US
Telephone Number	:	714-954-0270
Fax Number	:	714-954-0272

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	01/14/2012

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1134166697 — MARK A RETTENMAIER M.D.
Practice Location Address:

1010 W LA VETA AVE , STE 775
ORANGE, CA
92868-4306

Practice Phone: 949-705-9015
Practice Fax:

1073545968 — DR. WILLIAM CLAY COHEN DO
Practice Location Address:

1010 W LA VETA AVE STE 445
ORANGE, CA
92868-4306

Practice Phone: 714-628-1313
Practice Fax: 714-628-1319

1649288002 — DR. ALEX V ZAND MD
Practice Location Address:

1010 W LA VETA AVE , STE 610
ORANGE, CA
92868-4306

Practice Phone: 714-285-2311
Practice Fax: 714-285-2319

1457425282 — DR. SAMI B HAMAMJI M.D.
Practice Location Address:

1010 W LA VETA AVE STE 775
ORANGE, CA
92868-4306

Practice Phone: 714-541-5959
Practice Fax: 714-835-9550

1225178510 — WILLIAM C COHEN D O INC
Practice Location Address:

1010 W LA VETA AVE STE 445
ORANGE, CA
92868-4306

Practice Phone: 714-628-1313
Practice Fax: 714-628-1319

Directions to “ DR. MYRON ROSS KANOFSKY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.