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NPI Code Detail

MEDICARE: ELIZABETH J. COVINGTON MD, INC

MEDICARE: ELIZABETH J. COVINGTON MD, INC
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
1207Q00000XFamily Medicine PhysicianG40179CA

General Provider Information

NPI Number : 1346350386
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELIZABETH J. COVINGTON MD, INC
Provider Business Mailing Address
First Line : 3762 SANTA ROSALIA DR STE C30
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-3612
Country : US
Telephone Number : 323-290-2107
Fax Number : 323-290-0632
Provider Business Practice Location Address
First Line : 3762 SANTA ROSALIA DR STE C30
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-3612
Country : US
Telephone Number : 323-290-2107
Fax Number : 323-290-0632
Authorized Official
Title or Position : PHYSICIAN
Name : DR. ELIZABETH JEAN COVINGTON
Credential : M.D.,INC.
Telephone Number : 323-290-2107
Provider Enumeration Date : 08/30/2006
Last Update Date : 02/11/2025

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Directions to “ELIZABETH J. COVINGTON MD, INC ” Practice Location

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