Jack Koumjian, DDS

NPI 1073629390 · on the registry since 2006

Practice

Address: 770 Welch Rd
Ste 280
Palo Alto, CA 94304
Phone: (650) 347-3426
Fax: (650) 324-0103
Organisation at this address: Medical Associates Laboratory
Lucile Packard Children'S Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 1223P0700X
1223P0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California