Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A112405 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | A112405 | CA |
NPI | 1184825986 |
---|---|
Provider Name | Dr. Vuk Jovanovic |
First Address | Tarzana, CA 91356-2838 |
Second Address | Tarzana, CA 91356-2838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 29/11/2021 |