Benjamin Havko | San Diego, CA • PECOS Search

Benjamin Havko

General Practice

Allopathic & Osteopathic Physicians

Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Benjamin Havko does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1336599448
Provider Type
Individual
Full Name
Havko, Benjamin
Credential
D.O.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/20/2016
Last Updated
8/10/2023

Contact Information

Practice Location

Naval Medical Center San Diego, 34800 Bob Wilson Drive, San Diego, CA 92134-0001

Unlisted Fax

Mailing Location

3288 5th Ave Apt 512, San Diego, CA 92103-5754

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License OS018953 Pennsylvania