Organization
NEUROSURGICAL MEDICAL CLINIC, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHAIB A. KURESHI M.D. (PRESIDENT)
(619) 297-4481
Entity
Organization
Contact information
Practice address
3750 CONVOY ST STE 301, SAN DIEGO, CA 92111-3741
(619) 297-4481
(619) 291-5536
Mailing address
3750 CONVOY ST STE 301, SAN DIEGO, CA 92111-3741
(619) 297-4481
(619) 291-5536
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ47852Z
—
CA
Enumeration date
08/20/2006
Last updated
07/21/2022
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