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Organization
MARJAN CHEGOUNCHI MD INC
Active
Organization
MARJAN CHEGOUNCHI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARJAN CHEGOUNCHI MD (OWNER)
(619) 746-6530
Entity
Organization
Contact information
Practice address
501 E HARDY ST, STE 205, INGLEWOOD, CA 90301-4054
(310) 671-6364
(310) 671-8184
Mailing address
PO BOX 390005, SAN DIEGO, CA 92149-0005
(619) 746-6530
(619) 746-6528
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A80479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A80479
LICENSE
CA
Enumeration date
07/25/2008
Last updated
06/25/2020
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