| NPI | 1225734981 |
|---|---|
| Doing Business As | ANCOVA |
| Entity Type | Organization |
| Authorized Contact | ANTONIO JAVIER COVARRUBIAS Surgeon 949-356-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 208600000X Surgery |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |