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Organization

MARJAN CHEGOUNCHI MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARJAN CHEGOUNCHI MD (OWNER)
(619) 746-6530
Entity
Organization

Contact information

Practice address
501 E HARDY ST, STE 205, INGLEWOOD, CA 90301-4054
(310) 671-6364
(310) 671-8184
Mailing address
PO BOX 390005, SAN DIEGO, CA 92149-0005
(619) 746-6530
(619) 746-6528

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A80479
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A80479
LICENSE
CA
Enumeration date
07/25/2008
Last updated
06/25/2020
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