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

Individual provider Neurology Physician · NPI 1104922038

Boris Khamishon, NEUROLOGY is a Neurology in San Diego, California. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Licensed in
CA
In the registry since
2006
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Practice location Address checks out

6699 Alvarado Rd #2301
San Diego, CA 92120-5238
Phone: (619) 582-2595
Fax: (619) 229-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A56165 (CA)

Record details

NPI number1104922038
Entity typeIndividual (Type 1)
GenderMale
Credentials NEUROLOGY
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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