BORIS KHAMISHONMD – NPI #1487851499
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

BORIS KHAMISHONMD is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1487851499 to BORIS KHAMISHONMD on July 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is BORIS KHAMISHON,MD PROF. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BORIS KHAMISHONMD below.

NPI Profile for
BORIS KHAMISHONMD

NPI Number
1487851499
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BORIS KHAMISHONMD
Former Legal Business Name: BORIS KHAMISHON,MD PROF
Primary location
6699 ALVARADO RD STE 2301
SAN DIEGO, CA 92120-5241
Phone: (619) 582-2595 Fax: (619) 229-8006
Mailing address
6699 ALVARADO RD
SAN DIEGO, CA 92120-5238
Phone: (619) 582-2595 Fax: (619) 229-8006
Organization Subpart
No
Authorized Official
BORIS KHAMISHON
NEUROLOGY
Phone: (619) 582-2595
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)
CA A56165

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.