Healthcare Provider Details

I. General information

NPI: 1346250107
Provider Name (Legal Business Name): JUSTIN D SALIMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8436 W 3RD ST STE 900
LOS ANGELES CA
90048-4163
US

IV. Provider business mailing address

8436 W 3RD ST STE 900
LOS ANGELES CA
90048-4163
US

V. Phone/Fax

Practice location:
  • Phone: 310-860-3059
  • Fax: 424-203-6088
Mailing address:
  • Phone: 310-860-3059
  • Fax: 310-550-7680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA95455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: