Individual
KOUROSH KEVIN SHAMLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11411 BROOKSHIRE AVE, SUITE 200, DOWNEY, CA 90241-5026
(562) 869-4421
(562) 869-3600
Mailing address
11411 BROOKSHIRE AVE, SUITE 200, DOWNEY, CA 90241-5026
(562) 869-4421
(562) 869-3600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G79362
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
G79362
CA
Other
Enumeration date
08/26/2006
Last updated
08/02/2011
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