Koumjian, Michael Peter

Koumjian, Michael Peter is an sole proprietor health care provider with primary practice located at 5525 Grossmont Center Dr Ste 609, La Mesa CA 91942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Koumjian, Michael Peter can be contacted via phone (619) 466-5700.

Contact Information

Primary practice address
5525 Grossmont Center Dr Ste 609 La Mesa CA 91942
Phone: (619) 466-5700
Fax: (619) 460-8975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G37886 California

Profile Details

NPI number 1366403321
LBN Legal business name Koumjian, Michael Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Feb 2nd, 2018 - about 6 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 1366403321 NPPES
California MEDICAID GR0066270

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