# KOUROSH KHAMOOSHIAN MD, PC

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

## Provider details

- **NPI number:** 1770725897
- **Authorized official:** KOUROSH KHAMOOSHIAN M.D. (INTERNAL MEDICINE ATTENDING)
- **Authorized official phone:** (858) 603-6576

## Contact information

- **Practice address:** 555 E VALLEY PKWY, ESCONDIDO, CA 92025-3048
- **Practice address phone:** (760) 739-3000
- **Mailing address:** 14677 VIA BETTONA, SUITE 110, PMB 136, SAN DIEGO, CA 92127-4809
- **Mailing address phone:** (858) 367-8601
- **Mailing address fax:** (858) 408-3844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A110901 | CA | Yes |

## Other

- **Enumeration date:** 04/03/2009
- **Last updated:** 09/24/2012