Individual
ALAN KURIAKOSE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
765 MEDICAL CENTER CT STE 211, CHULA VISTA, CA 91911-6600
(619) 616-2100
(619) 616-2104
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
A139341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AJ3232267556
—
CA
Enumeration date
04/09/2014
Last updated
08/22/2022
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