Healthcare Provider Details

I. General information

NPI: 1780653857
Provider Name (Legal Business Name): ALFRED SALEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 07/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 HEALTH CENTER DR SUITE 102
SAN DIEGO CA
92123-2773
US

IV. Provider business mailing address

3075 HEALTH CENTER DR SUITE 102
SAN DIEGO CA
92123-2773
US

V. Phone/Fax

Practice location:
  • Phone: 858-637-7888
  • Fax: 858-637-7887
Mailing address:
  • Phone: 858-637-7888
  • Fax: 858-637-7887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberG39524
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: