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NPI Code Detail

MEDICARE: SEBOUH S KOUYOUMJIAN

MEDICARE: SEBOUH S KOUYOUMJIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker375716CA

General Provider Information

NPI Number : 1750262127
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEBOUH S KOUYOUMJIAN
Provider Business Mailing Address
First Line : 1118 MERIDIAN AVE STE 150
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-4352
Country : US
Telephone Number : 408-445-3400
Fax Number : 408-266-6614
Provider Business Practice Location Address
First Line : 1118 MERIDIAN AVE STE 150
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-4352
Country : US
Telephone Number : 408-445-3400
Fax Number : 408-266-6614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2025
Last Update Date : 02/19/2026

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Directions to “ SEBOUH S KOUYOUMJIAN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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