Organization
POURANG KAMALI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KAMALI (ADMINISTRATOR)
(619) 850-4161
Entity
Organization
Contact information
Practice address
752 MEDICAL CENTER CT, 106, CHULA VISTA, CA 91911-6658
(619) 754-6120
(619) 482-6656
Mailing address
752 MEDICAL CENTER CT, 106, CHULA VISTA, CA 91911-6658
(619) 754-6120
(619) 482-6656
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A90859
CA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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