person
Ken Makovsky
General Practice Physician in Los Angeles, California
NPI 1720442494

Ken Makovsky is a General Practice Physician based in Los Angeles, CA. Ken Makovsky practices in Los Angeles, CA. The NPI Number for Ken Makovsky is 1720442494 and holds a License No. 63751 (California).

The current practice location address for Ken Makovsky is 11301 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-478-3711.

Location: 11301 Wilshire Blvd, Los Angeles, CA, 90073-1003
person
Provider Profile Details
NPI Number
1720442494
Provider Name
Ken Makovsky
Credential
Provider Entity Type
Individual
Gender
Male
Address
11301 Wilshire Blvd, Los Angeles, CA, 90073-1003
Phone Number
310-478-3711
Fax Number
Provider Enumeration Date
04/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd
City
State
Zip
90073
Phone Number
310-478-3711
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd
City
State
Zip
90073
Phone Number
310-478-3711
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A153909 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
63751 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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