Individual provider · Type 1 NPI
Jason Lyle Novick, D.P.M.
Foot & Ankle Surgery Podiatrist · Capitola, CA
NPI number
1689630808
Active
Practice location
525 Capitola Ave, Unit B
Capitola, CA 95010-2759
Fax (831) 462-2930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4661 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1689630808
Jason Lyle Novick, D.P.M.'s National Provider Identifier is 1689630808, issued on Apr 25, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Capitola, CA. The record was last updated on Oct 4, 2012.