# MICHAEL KURISU D.O. A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023481637
- **Authorized official:** DR. MICHAEL KURISU D.O. (PRESIDENT)
- **Authorized official phone:** (858) 587-1822

## Contact information

- **Practice address:** 3706 RUFFIN RD, SUITE 129, SAN DIEGO, CA 92123-1812
- **Practice address phone:** (858) 587-1822
- **Practice address fax:** (858) 587-8967
- **Mailing address:** 3706 RUFFIN RD, SUITE 129, SAN DIEGO, CA 92123-1812
- **Mailing address phone:** (858) 587-1822
- **Mailing address fax:** (858) 587-8967

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2015
- **Last updated:** 11/04/2015