# KOUROSH MOHAMMADI M.D. INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Diego Laser-Vision Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649577024
- **Authorized official:** DR. KOUROSH MOHAMMADI M.D. (PRESIDENT)
- **Authorized official phone:** (858) 336-9102

## Contact information

- **Practice address:** 4944 CASS ST, 710, SAN DIEGO, CA 92109-2074
- **Practice address phone:** (858) 336-9102
- **Mailing address:** 4944 CASS ST, 710, SAN DIEGO, CA 92109-2074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A95368 | CA | Yes |

## Other

- **Enumeration date:** 02/19/2011
- **Last updated:** 02/19/2011