Healthcare Provider Details

I. General information

NPI: 1932151354
Provider Name (Legal Business Name): MAHER SALEEB MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 EAST HIGHLAND AVE
PATTON CA
92369
US

IV. Provider business mailing address

5688 COUSINS PL
RANCHO CUCAMONGA CA
91737-2156
US

V. Phone/Fax

Practice location:
  • Phone: 909-425-6488
  • Fax: 909-425-7520
Mailing address:
  • Phone: 909-948-7548
  • Fax: 909-380-8604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA54830
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: