Organization
KOUSAY A. AL-KOURAINY, M.D.
Active
Parent organization
KOUSAY A. AL-KOURAINY, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOUSAY A. AL-KOURAINY, M.D.
Authorized official
SUZANN M KING (OFFICE MANAGER)
(619) 425-2080
Entity
Organization
Contact information
Practice address
480 4TH AVE, SUITE 409, CHULA VISTA, CA 91910-4410
(619) 425-2080
(619) 425-8410
Mailing address
480 4TH AVE, SUITE 409, CHULA VISTA, CA 91910-4410
(619) 425-2080
(619) 425-8410
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LAB65972F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAB65972F
MEDI-CAL LAB
CA
Enumeration date
11/21/2007
Last updated
11/21/2007
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