# BORIS KHAMISHONMD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** boris khamishon,md prof
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487851499
- **Authorized official:** BORIS KHAMISHON MD (NEUROLOGY)
- **Authorized official phone:** (619) 582-2595

## Contact information

- **Practice address:** 6699 ALVARADO RD STE 2301, SAN DIEGO, CA 92120-5241
- **Practice address phone:** (619) 582-2595
- **Practice address fax:** (619) 229-8006
- **Mailing address:** 6699 ALVARADO RD, SAN DIEGO, CA 92120-5238
- **Mailing address phone:** (619) 582-2595
- **Mailing address fax:** (619) 229-8006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A56165 | CA | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 08/22/2020