Healthcare Provider Details

I. General information

NPI: 1609798115
Provider Name (Legal Business Name): SALMA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CONCAR DR STE 4-157
SAN MATEO CA
94402-2681
US

IV. Provider business mailing address

400 CONCAR DR STE 4-157
SAN MATEO CA
94402-2681
US

V. Phone/Fax

Practice location:
  • Phone: 858-277-2659
  • Fax:
Mailing address:
  • Phone: 858-277-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON BENTZLEY
Title or Position: PRESIDENT
Credential: MD
Phone: 856-449-7057