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Organization
MICHAEL P. KOUMJIAN, MD, A PROFESSIONAL CORPORATION
Active
Organization
MICHAEL P. KOUMJIAN, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PETER KOUMJIAN M.D. (PRESIDENT)
(619) 466-5700
Entity
Organization
Contact information
Practice address
5525 GROSSMONT CENTER DR STE 609, LA MESA, CA 91942-3009
(619) 466-5700
(619) 460-8975
Mailing address
5525 GROSSMONT CENTER DRIVE , SUITE 609, LA MESA, CA 91942
(619) 466-5700
(619) 460-8975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066270
—
CA
Enumeration date
05/18/2007
Last updated
09/25/2007
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