Basic Information
| Provider Information | |||||||||
| NPI: | 1518026483 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOVY | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | R. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 275 N. EL CIELO | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603238657 | ||||||||
| FaxNumber: | 7603189083 | ||||||||
| Practice Location | |||||||||
| Address1: | 275 N. EL CIELO | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603238657 | ||||||||
| FaxNumber: | 7603189083 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2006 | ||||||||
| LastUpdateDate: | 12/28/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | MD00020053 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | LO2484 | 01 | WA | REGENCE | OTHER |