# ALLAN C. CHURUKIAN, MD, INC., A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1366646515
- **Authorized official:** DR. ALLAN C. CHURUKIAN MD (PRESIDENT)
- **Authorized official phone:** (858) 883-7625

## Contact information

- **Practice address:** 2400 E 4TH ST, PARADISE VALLEY HOSPITAL EMERGENCY DEPT, NATIONAL CITY, CA 91950-2026
- **Practice address phone:** (619) 470-4141
- **Mailing address:** 1420 UPAS ST, SAN DIEGO, CA 92103-5129
- **Mailing address phone:** (858) 883-7625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | A76015 | CA | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 01/29/2014