Kooros, Koorosh

Kooros, Koorosh is an individual health care provider with primary practice located at 8110 Birmingham Way , San Diego CA 92123-2758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Kooros, Koorosh can be contacted via phone (858) 966-4032.

Contact Information

Primary practice address
8110 Birmingham Way San Diego CA 92123-2758
Phone: (858) 966-4032
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X N7631 Texas
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 002125 New York
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X C138035 California

Profile Details

NPI number 1356372924
LBN Legal business name Kooros, Koorosh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 31st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356372924 NPPES
New York MEDICAID 02562449

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