Healthcare Provider Details

I. General information

NPI: 1265691505
Provider Name (Legal Business Name): SALMAN N. M. OKOUR M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2008
Last Update Date: 11/22/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 WARNER AVE STE 116
FOUNTAIN VALLEY CA
92708-7500
US

IV. Provider business mailing address

3010 BEARD RD
NAPA CA
94558-3442
US

V. Phone/Fax

Practice location:
  • Phone: 657-356-1281
  • Fax: 310-602-6190
Mailing address:
  • Phone: 707-255-8825
  • Fax: 707-252-9325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA09407100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA115961
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: