# PAUL B KOUYOUMJIAN, MD INC.

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

## Provider details

- **NPI number:** 1831790922
- **Authorized official:** PAUL KOUYOUMJIAN MD (PRESIDENT)
- **Authorized official phone:** (213) 944-8800

## Contact information

- **Practice address:** 18040 SHERMAN WAY STE 205, RESEDA, CA 91335-4631
- **Practice address phone:** (818) 993-1112
- **Practice address fax:** (818) 993-5994
- **Mailing address:** 11119 PROVENCE LN, TUJUNGA, CA 91042-1263
- **Mailing address phone:** (213) 944-8800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2020
- **Last updated:** 11/04/2020