Provider Demographics
NPI:1265727366
Name:COVA, TANYA MARTINEZ (DC)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:MARTINEZ
Last Name:COVA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8960
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92812-0960
Mailing Address - Country:US
Mailing Address - Phone:951-298-9159
Mailing Address - Fax:657-245-4732
Practice Address - Street 1:2001 E 1ST ST STE 103
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4020
Practice Address - Country:US
Practice Address - Phone:949-433-5041
Practice Address - Fax:657-245-4732
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty