Healthcare Provider Details

I. General information

NPI: 1629985718
Provider Name (Legal Business Name): SALUS INTERNAL MEDICINE & ACTIVE LIVING, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 AVENIDA ENCINAS STE 125
CARLSBAD CA
92011-4689
US

IV. Provider business mailing address

7220 AVENIDA ENCINAS STE 125
CARLSBAD CA
92011-4689
US

V. Phone/Fax

Practice location:
  • Phone: 650-564-2363
  • Fax:
Mailing address:
  • Phone: 650-564-2363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA MARIE BURMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 650-564-2363