Individual
DIMITRI DE KOUCHKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD-PHD
Contact information
Practice address
3613 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 758-5340
Mailing address
3613 VISTA WAY, OCEANSIDE, CA 92056-4522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A181607
CA
Other
Enumeration date
03/23/2021
Last updated
01/01/2026
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