Organization
KOUROSH KHAMOOSHIAN MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH KHAMOOSHIAN M.D. (INTERNAL MEDICINE ATTENDING)
(858) 603-6576
Entity
Organization
Contact information
Practice address
555 E VALLEY PKWY, ESCONDIDO, CA 92025-3048
(760) 739-3000
Mailing address
14677 VIA BETTONA, SUITE 110, PMB 136, SAN DIEGO, CA 92127-4809
(858) 367-8601
(858) 408-3844
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A110901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4794
RESIDENCY NUMBER
CA
Enumeration date
04/03/2009
Last updated
09/24/2012
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