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Boris Khamishonmd
Medical Specialty Clinic/Center in San Diego, California
NPI 1487851499

Boris Khamishonmd is a Medical Specialty Clinic/Center based in San Diego, CA and is specialized in Medical Specialty. Boris Khamishonmd practices in San Diego, CA. The NPI Number for Boris Khamishonmd is 1487851499 and holds a License No. A56165 (California).

The current practice location address for Boris Khamishonmd is 6699 Alvarado Rd Ste 2301, San Diego, CA and can be reached out via phone at 619-582-2595 and via fax at 619-229-8006.

Location: 6699 Alvarado Rd Ste 2301, San Diego, CA, 92120-5238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487851499
Provider Name
Boris Khamishonmd
Credential
Provider Entity Type
Organization
Address
6699 Alvarado Rd Ste 2301, San Diego, CA, 92120-5238
Phone Number
619-582-2595
Fax Number
619-229-8006
Provider Enumeration Date
07/02/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6699 Alvarado Rd Ste 2301
City
San Diego
State
California
Zip
92120-5241
Phone Number
619-582-2595
Fax Number
619-229-8006
person
Provider Business Mailing Address Details
Address
6699 Alvarado Rd Ste 2301
City
San Diego
State
California
Zip
92120-5241
Phone Number
619-582-2595
Fax Number
619-229-8006
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A56165 (California)
Definition
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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