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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366403321 | NPPES |
| California | MEDICAID | GR0066270 |
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