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NPI Code Detail

MEDICARE: SHELAH LA VOYN-SALLIS

MEDICARE: SHELAH LA VOYN-SALLIS
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
1106H00000XMarriage & Family Therapist141970CA

General Provider Information

NPI Number : 1851167100
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELAH LA VOYN-SALLIS
Provider Business Mailing Address
First Line : 31754 TEMECULA PKWY STE A590
Second Line :
City : TEMECULA
State : CA
Zip : 92592-6814
Country : US
Telephone Number : 951-448-6915
Fax Number : 858-422-3120
Provider Business Practice Location Address
First Line : 2085 RUSTIN AVE BLDG 3
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-2498
Country : US
Telephone Number : 951-940-6631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2023
Last Update Date : 07/29/2024

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Directions to “ SHELAH LA VOYN-SALLIS ” Practice Location

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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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