Individual
BORIS KHAMISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NEUROLOGY
Contact information
Practice address
6699 ALVARADO RD, #2301, SAN DIEGO, CA 92120-5238
(619) 582-2595
(619) 229-8006
Mailing address
1011 SAPPHIRE ST, SAN DIEGO, CA 92109-1848
(619) 582-2595
(619) 229-8006
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A56165
CA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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