Individual
AMR KOUCHOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22525 MAPLE AVE, SUITE, 100, TORRANCE, CA 90505-2700
(310) 803-9633
(310) 803-9634
Mailing address
1595 E 17TH ST, SANTA ANA, CA 92705-8506
(714) 399-0678
(714) 276-6489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A137407
CA
Other
Enumeration date
06/11/2010
Last updated
01/18/2016
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