Individual
PAUL KALOOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 E GREEN ST STE 320, PASADENA, CA 91106-2401
(323) 633-5419
Mailing address
2645 N VERMONT AVE, LOS ANGELES, CA 90027-1244
(323) 633-5419
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A97161
CA
207T00000X
Neurological Surgery Physician
D73081
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055636000
—
MD
Enumeration date
02/06/2007
Last updated
10/01/2020
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