MEDICARE: DR. FRANK HYMAN KANOVSKY 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	207X00000X	Orthopaedic Surgery Physician	G11855	CA

General Provider Information

NPI Number	:	1164648242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK HYMAN KANOVSKY M.D.

Provider Business Mailing Address
First Line	:	655 N CENTRAL AVE
Second Line	:	SUITE 900
City	:	GLENDALE
State	:	CA
Zip	:	91203-1422
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 N CENTRAL AVE
Second Line	:	SUITE 900
City	:	GLENDALE
State	:	CA
Zip	:	91203-1422
Country	:	US
Telephone Number	:	818-291-4821
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	04/15/2008

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