Organization · Type 2 NPI

Boris Khamishonmd

Medical Specialty Clinic/Center · San Diego, CA

NPI number 1487851499 Active

Practice location

6699 Alvarado Rd Ste 2301
San Diego, CA 92120-5241

Fax (619) 229-8006

Mailing address

6699 Alvarado Rd
San Diego, CA 92120-5238

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA56165 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1487851499

Boris Khamishonmd's National Provider Identifier is 1487851499, issued on Jul 2, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in San Diego, CA. The record was last updated on Aug 22, 2020.