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WAEL KOULI MD
NPI 1104929215
Surgery in Coronado, CA

Active since September 06, 2006CLIA 05D2195656 · Waiver

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Wael Kouli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAEL KOULI MD (NPI 1104929215) is an individual surgery provider in Coronado, California, licensed in California (C55343) and active in the NPI registry since September 2006. He holds a CLIA Waiver certificate valid through October 10, 2026.

NPPES Registry Identity

NPI1104929215
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWAEL KOULICredential: MD
Location Address633 B AVECoronado, CA 92118-2225
Mailing Address633 B AveCoronado, CA 92118-2225 · (609) 442-0559
Phone(609) 442-0559
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 15, 2013
✔ NPI 1104929215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · C55343
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
633 B AVE, Coronado, CA 92118
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI17752NJ
Medicare ID-Type Unspecified083894USQNJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2195656

Wael Kouli MD PC · Coronado, CA
Active · expires Oct 10, 2026
CLIA Number05D2195656
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorWael Kouli
Laboratory Phone(619) 435-5880
Laboratory LocationWael Kouli MD PC120 C Avenue Suite #130, Coronado, CA 92118
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wael Kouli's NPI number?

The NPI number for Wael Kouli is 1104929215. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Wael Kouli located?

Wael Kouli practices at 633 B Ave, Coronado, CA 92118. The listed phone number is (609) 442-0559.

What is Wael Kouli's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Wael Kouli hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2195656) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wael Kouli was last updated on August 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.