Individual
KOUROSH MOHAMMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4944 CASS ST, 710, SAN DIEGO, CA 92109-2074
(858) 336-9102
Mailing address
4944 CASS ST, 710, SAN DIEGO, CA 92109-2074
(858) 336-9102
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A95368
CA
Other
Enumeration date
03/22/2007
Last updated
11/29/2021
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