Kourosh Mohammadi M.D. Incorporated

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A95368 Issued in CA

Legal business name

KOUROSH MOHAMMADI M.D. INCORPORATED

Doing business as

San Diego Laser-Vision Eye Center

Practice address

4944 Cass St
710
San Diego, CA 92109-2074

Phone

(858) 336-9102

NPI assigned

Feb 19, 2011

Last updated

Feb 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kourosh Mohammadi, M.D.NPI 1164549689

Title

President

Phone

(858) 336-9102

Specialties & licenses 1

Addresses

Other names 1

• San Diego Laser-Vision Eye Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kourosh Mohammadi, M.D.

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1164549689
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1649577024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 CASS ST",
            "address_2": "710",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 CASS ST",
            "address_2": "710",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092074",
            "telephone_number": "858-336-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOUROSH MOHAMMADI M.D. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-19",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMMADI",
        "authorized_official_first_name": "KOUROSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-336-9102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Laser-Vision Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Kouo, L.AC.
• Thomas Kouo, DAOM, L.AC.
• Peter Drew Kourajian, MD
• Hailey Kourbage
• Kourosh a. Kashani DDS, Inc. (coast dental care)
• Kaitlin Koury
• Molly Elizabeth Koustmer, OTR
• Oliana Julia Koutroff
• Aspasia Koutzmbis, BA
• Svetlana Kouzko

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.