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NPI Code Detail

MEDICARE: JOSEPH F CZVIK MD INC

MEDICARE: JOSEPH F CZVIK 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
1207R00000XInternal Medicine PhysicianG73296CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1207R00000XOTHERCATAXONOMY

General Provider Information

NPI Number : 1588826291
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH F CZVIK MD INC
Provider Business Mailing Address
First Line : PO BOX 390005
Second Line :
City : SAN DIEGO
State : CA
Zip : 92149-0005
Country : US
Telephone Number : 619-746-6530
Fax Number : 619-746-6528
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 : 760-471-1148
Authorized Official
Title or Position : OWNER
Name : DR. JOSEPH FRANK CZVIK JR.
Credential : M.D.
Telephone Number : 619-746-6530
Provider Enumeration Date : 06/25/2008
Last Update Date : 12/01/2008

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Directions to “JOSEPH F CZVIK MD INC ” Practice Location

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