Individual
DR. MICHAEL PETER KOUMJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5525 GROSSMONT CENTER DR, STE 609, LA MESA, CA 91942
(619) 466-5700
(619) 460-8975
Mailing address
5525 GROSSMONT CENTER DR STE 609, LA MESA, CA 91942-3009
(619) 466-5700
(619) 460-8975
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G37886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066270
—
CA
Enumeration date
03/30/2006
Last updated
02/02/2018
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