Search › California › 208D00000X
Ken Makovsky
NPI 1720442494 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3884 Nobel Dr
San Diego, CA 92122 - Phone
- (872) 231-3162
- Organisation at this address
- La Jolla Skilled Llc
Fountains La Jolla Sl, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 11301 Wilshire Blvd, Los Angeles, CA
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California