Organization
KAPO ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMVEL KAPOUSHIAN (OWNER)
(760) 754-1367
Entity
Organization
Contact information
Practice address
2171 S EL CAMINO REAL, SUITE 210-1A, OCEANSIDE, CA 92054-6229
(760) 754-1367
Mailing address
2171 S EL CAMINO REAL, SUITE 210-1A, OCEANSIDE, CA 92054-6229
(760) 754-1367
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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