NPI: 1487851499
Provider Name: BORIS KHAMISHONMD
Former Legal Business Name: BORIS KHAMISHON,MD PROF
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization
Specialization: Medical Specialty
Address:
6699 ALVARADO RD STE 2301
SAN DIEGO, CA
ZIP 92120
Phone: (619) 582-2595
Get Directions
BORIS KHAMISHONMD is a medical specialty clinic center in San Diego, CA. The provider is 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). BORIS KHAMISHONMD NPI is 1487851499. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Boris Khamishon,md Prof.
The provider's business location address is:
6699 ALVARADO RD STE 2301
SAN DIEGO, CA
ZIP 92120-241
Phone: (619) 582-2595
Fax: (619) 229-8006
The provider's authorized official is Boris Khamishon .
The authorized official title is Neurology and has the following contact phone number (619) 582-2595.
The enumeration date for this NPI number is 7/2/2007 and was last updated on 8/22/2020.