MEDICARE: JOSEPH CZVIK MD

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	207R00000X	Internal Medicine Physician	G73296	CA

General Provider Information

NPI Number	:	1528084340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH CZVIK MD

Provider Business Mailing Address
First Line	:	1635 LAKE SAN MARCOS DR
Second Line	:	STE 202
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-4661
Country	:	US
Telephone Number	:	760-471-1020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 LAKE SAN MARCOS DR
Second Line	:	STE 202
City	:	SAN MARCOS
State	:	CA
Zip	:	92078-4661
Country	:	US
Telephone Number	:	760-471-1020
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/24/2014

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