Individual
DR. MICHAEL T COURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3969 4TH AVE, SUITE 301, SAN DIEGO, CA 92103-3165
(619) 291-6191
(619) 291-0049
Mailing address
3969 4TH AVE, SUITE 301, SAN DIEGO, CA 92103-3165
(619) 291-6191
(619) 291-0049
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A53265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A532650
BLUE SHIELD
CA
05
—
00A532650
—
CA
01
—
00A532651
MEDICARE-SPECTRUM
CA
01
—
180046485
PALMETTO GBA
CA
01
—
4401850001
DMERC
CA
01
—
522450085
TAX ID
CA
01
—
5224500859210300
CHAMPUS
CA
01
—
A53265B
MEDICARE PIN-SPECTRUM
CA
01
—
P00353462
RAILROAD MEDICARE
CA
Enumeration date
04/18/2007
Last updated
03/02/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us