Kanofsky, Myron Ross

Kanofsky, Myron Ross is an sole proprietor health care provider with primary practice located at 1010 W La Veta Ave Suite 775, Orange CA 92868-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kanofsky, Myron Ross can be contacted via phone (714) 954-0270.

Contact Information

Primary practice address
1010 W La Veta Ave Suite 775 Orange CA 92868-4306
Phone: (714) 954-0270
Fax: (714) 954-0272
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C40010 California

Profile Details

NPI number 1083679377
LBN Legal business name Kanofsky, Myron Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jan 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083679377 NPPES
Other 33-0306480 CHAMPUS
MEDICAID 00C400100 CHAMPUS

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