Dr. Koorosh Kooros
M.D. | Pediatric Gastroenterology | Male
Dr. Koorosh Kooros, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. Koorosh Kooros is
8110 Birmingham Way, San Diego, California - 92123-2758. He can be contacted on phone at
858-966-4032.
Dr. Koorosh Kooros is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Koorosh Kooros is
1356372924 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 31 Aug, 2016.
Dr. Koorosh Kooros license number is
C138035 for Pediatrics Pediatric Gastroenterology (2080P0206X) in California.
Dr. Koorosh Kooros specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. Koorosh Kooros basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Dr. Koorosh Kooros |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Koorosh Kooros address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8110 Birmingham Way
San Diego, CA, 92123-2758
United States |
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| Phone Number : | 858-966-4032 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356372924 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 31 Aug, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Koorosh Kooros are as mentioned. Primary taxonomy code for Dr. Koorosh Kooros, M.D. is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | N7631 | TX |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 002125 | NY |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | C138035 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Koorosh Kooros such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 02562449 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3020 Childrens Way, Mc 5003
San Diego, CA, 92123-4223
United States |
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| Phone Number : | 858-309-6300 |
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Business Location:
Patients can refer following map for directions to
Dr. Koorosh Kooros practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.