Provider Demographics
NPI:1235326232
Name:KOUYOUMDJIAN, ZEPURE (DO)
Entity Type:Individual
Prefix:DR
First Name:ZEPURE
Middle Name:
Last Name:KOUYOUMDJIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16130 JUAN HERNANDEZ DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5527
Mailing Address - Country:US
Mailing Address - Phone:408-778-4886
Mailing Address - Fax:408-778-4844
Practice Address - Street 1:16130 JUAN HERNANDEZ DR
Practice Address - Street 2:SUITE 110
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037
Practice Address - Country:US
Practice Address - Phone:408-778-4886
Practice Address - Fax:408-778-4844
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A118432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A11843OtherMEDICAL LICENSE