Individual
KOUSAY ABDULLAH ALKOURAINY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207RH0003X
Hematology & Oncology Physician
Primary
A39783
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A397830
—
CA
Enumeration date
08/08/2006
Last updated
05/08/2013
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