| Kourosh Khamooshian Md Pc | |
|
5565 Grossmont Center Dr Ste 444 La Mesa CA 91942-3020 | |
| (858) 373-9616 | |
| (858) 373-9619 |
| Full Name | Kourosh Khamooshian Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5565 Grossmont Center Dr Ste 444, La Mesa, California |
| Authorized Official Name and Position | Kourosh Khamooshian (OWNER / CEO) |
| Authorized Official Contact | 8583739616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kourosh Khamooshian Md Pc 5565 Grossmont Center Dr Ste 444 La Mesa CA 91942-3020 Ph: (858) 373-9616 | Kourosh Khamooshian Md Pc 5565 Grossmont Center Dr Ste 444 La Mesa CA 91942-3020 Ph: (858) 373-9616 |
| NPI Number | 1194079632 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 07/01/2025 |
| Medicare PECOS PAC ID | 7517194277 |
|---|---|
| Medicare Enrollment ID | O20241007001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194079632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QC1500X | Clinic/center - Community Health | A110901 (California) | Primary |
| Provider Name | Kourosh Khamooshian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659523975 PECOS PAC ID: 9133253958 Enrollment ID: I20130502000050 |
Shota Gurtch, M.d., Inc., A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8875 La Mesa Blvd Ste C, La Mesa, CA 91942 Phone: 619-668-8100 | |
Michael Andrisani Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-469-3822 | |
Mohammed Miradi Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942 Phone: 619-644-1483 | |
Encompass Family And Internal Medicine Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7051 Alvarado Rd, 201, La Mesa, CA 91942 Phone: 619-460-7775 Fax: 858-519-5446 | |
Dap Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy Ste 200, La Mesa, CA 91942 Phone: 619-464-6434 Fax: 619-464-5109 | |
Raed Al-naser, M.d., A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5525 Grossmont Center Dr Ste 609, La Mesa, CA 91942 Phone: 619-589-9158 Fax: 619-462-0371 | |
Fadi A. Haddad, M.d., Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8860 Center Dr Ste 320, La Mesa, CA 91942 Phone: 619-376-1904 Fax: 619-376-1909 |