Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koushan Siami M D a Professional Corporation

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1124899661

Koushan Siami M D a Professional Corporation is an Anatomic Pathology & Clinical Pathology Physician in LA Quinta, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

47120 Dune Palms Rd Ste 109
LA Quinta, CA 92253-2097
Phone: (760) 864-4163
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X

Record details

NPI number1124899661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Koushan Siami Namini — Owner · (760) 864-4163
Other names Koushan Siami M D Apc; Koushan Siami
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address5700 Southwyck Blvd, Toledo, OH 43614-1509