Organization
SOUTH VALLEY NEUROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZEPURE KOUYOUMDJIAN D.O. (PRESIDENT)
(408) 778-4886
Entity
Organization
Contact information
Practice address
16130 JUAN HERNANDEZ DR, SUITE 110, MORGAN HILL, CA 95037
(408) 778-4886
(408) 778-4844
Mailing address
16130 JUAN HERNANDEZ DR, SUITE 110, MORGAN HILL, CA 95037
(408) 778-4886
(408) 778-4844
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306125935 01
—
CA
01
—
4966040
MEDICAID PIN
CA
Enumeration date
08/13/2011
Last updated
03/27/2017
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