| Boris Khamishon., Prof. Corp | |
|
6699 Alvarado Rd 2301 San Diego CA 92120-5238 | |
| (619) 582-2595 | |
| (619) 229-8006 |
| Full Name | Boris Khamishon., Prof. Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6699 Alvarado Rd, San Diego, California |
| Authorized Official Name and Position | Boris Khamishon (NEUROLOGY) |
| Authorized Official Contact | 6195822595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boris Khamishon., Prof. Corp 531 Palomar Ave La Jolla CA 92037-6143 Ph: (619) 582-2595 | Boris Khamishon., Prof. Corp 6699 Alvarado Rd 2301 San Diego CA 92120-5238 Ph: (619) 582-2595 |
| NPI Number | 1659356103 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 08/04/2016 |
| Medicare PECOS PAC ID | 7911086798 |
|---|---|
| Medicare Enrollment ID | O20080505000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659356103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Boris Khamishon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104922038 PECOS PAC ID: 5395727168 Enrollment ID: I20040604000344 |
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