Individual
MINA KYROLLUS GHOBRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(858) 249-6748
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A192546
CA
207P00000X
Emergency Medicine Physician
A192546
CA
207P00000X
Emergency Medicine Physician
D95321
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D95321
MD LICENSE
MD
Enumeration date
04/26/2018
Last updated
02/14/2024
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