Organization · Type 2 NPI

Kourosh Khamooshian MD PC

Community Health Clinic/Center · La Mesa, CA

NPI number 1194079632 Active

Practice location

5565 Grossmont Center Dr Ste 444
La Mesa, CA 91942-3020

Fax (858) 373-9619

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500XA110901 (CA)
Primary Care Clinic/Center 261QP2300XNone listed

Community Health Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1194079632

Kourosh Khamooshian MD PC's National Provider Identifier is 1194079632, issued on Nov 6, 2012. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in La Mesa, CA. The record was last updated on Jul 1, 2025.