Provider Demographics
NPI:1215081575
Name:KOVACS, GABOR L (MD)
Entity type:Individual
Prefix:DR
First Name:GABOR
Middle Name:L
Last Name:KOVACS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:31852 COAST HWY
Mailing Address - Street 2:STE #305
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-6764
Mailing Address - Country:US
Mailing Address - Phone:949-499-3085
Mailing Address - Fax:949-499-4095
Practice Address - Street 1:31852 COAST HWY
Practice Address - Street 2:STE #305
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6764
Practice Address - Country:US
Practice Address - Phone:949-499-3085
Practice Address - Fax:949-499-4095
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA34788207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27582Medicare UPIN
CAW8372Medicare ID - Type Unspecified