Organization
BORIS KHAMISHON., PROF. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS KHAMISHON MD (NEUROLOGY)
(619) 582-2595
Entity
Organization
Contact information
Practice address
6699 ALVARADO RD, 2301, SAN DIEGO, CA 92120-5238
(619) 582-2595
(619) 229-8006
Mailing address
531 PALOMAR AVE, LA JOLLA, CA 92037-6143
(619) 582-2595
(619) 229-8006
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
12/07/2005
Last updated
08/04/2016
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